Provider Demographics
NPI:1598167413
Name:HOLSTE, LEA ELISE (PHARMD)
Entity type:Individual
Prefix:
First Name:LEA
Middle Name:ELISE
Last Name:HOLSTE
Suffix:
Gender:
Credentials:PHARMD
Other - Prefix:
Other - First Name:LEA
Other - Middle Name:ELISE
Other - Last Name:ACUFF
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PHARMD
Mailing Address - Street 1:700 N BROADWAY
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80203-3421
Mailing Address - Country:US
Mailing Address - Phone:866-536-7612
Mailing Address - Fax:
Practice Address - Street 1:700 N BROADWAY
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80203-3421
Practice Address - Country:US
Practice Address - Phone:866-536-7612
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-09-23
Last Update Date:2025-03-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS1-15283183500000X, 183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist