Healthcare Provider Details

I. General information

NPI: 1851671341
Provider Name (Legal Business Name): DANIEL R HOLT PHARMD, RPH
Entity Type: Individual
Gender: Male
Sole Proprietor: N

Provider Other Name: DANIEL R MILLER

II. Dates (important events)

Enumeration Date: 08/28/2011
Last Update Date: 12/16/2025
Certification Date: 12/16/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3300 OAKDALE AVE N
ROBBINSDALE MN
55422
US

IV. Provider business mailing address

3300 OAKDALE AVE N
ROBBINSDALE MN
55422-2926
US

V. Phone/Fax

Practice location:
  • Phone: 763-581-3886
  • Fax: 763-581-3701
Mailing address:
  • Phone: 763-581-3886
  • Fax: 763-581-3701

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number119470
License Number StateMN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: