Provider Demographics
NPI:1447613948
Name:HOLMES, GRANT STEWART-TODD (PHARMD)
Entity Type:Individual
Prefix:
First Name:GRANT
Middle Name:STEWART-TODD
Last Name:HOLMES
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13600 S ALDEN ST
Mailing Address - Street 2:
Mailing Address - City:OLATHE
Mailing Address - State:KS
Mailing Address - Zip Code:66062-5829
Mailing Address - Country:US
Mailing Address - Phone:913-829-5300
Mailing Address - Fax:913-829-5315
Practice Address - Street 1:13600 S ALDEN ST
Practice Address - Street 2:
Practice Address - City:OLATHE
Practice Address - State:KS
Practice Address - Zip Code:66062-5829
Practice Address - Country:US
Practice Address - Phone:913-829-5300
Practice Address - Fax:913-829-5315
Is Sole Proprietor?:No
Enumeration Date:2016-04-01
Last Update Date:2016-04-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS116951183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist