Provider Demographics
NPI:1033427596
Name:MCCASKILL, HOLLY (RPH)
Entity Type:Individual
Prefix:MS
First Name:HOLLY
Middle Name:
Last Name:MCCASKILL
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:MRS
Other - First Name:HOLLY
Other - Middle Name:
Other - Last Name:MCCASKILL
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:RPH
Mailing Address - Street 1:4280 NEW GETWELL RD
Mailing Address - Street 2:
Mailing Address - City:MEMPHIS
Mailing Address - State:TN
Mailing Address - Zip Code:38118-6801
Mailing Address - Country:US
Mailing Address - Phone:901-794-5227
Mailing Address - Fax:901-365-8754
Practice Address - Street 1:4280 NEW GETWELL RD
Practice Address - Street 2:
Practice Address - City:MEMPHIS
Practice Address - State:TN
Practice Address - Zip Code:38118-6801
Practice Address - Country:US
Practice Address - Phone:901-794-5227
Practice Address - Fax:901-365-8754
Is Sole Proprietor?:No
Enumeration Date:2010-09-18
Last Update Date:2010-09-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN9968183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist