Provider Demographics
NPI:1083221881
Name:SOKOL, HOLLY MORGAN (PHARMD)
Entity Type:Individual
Prefix:
First Name:HOLLY
Middle Name:MORGAN
Last Name:SOKOL
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:15 QUINCY LN
Mailing Address - Street 2:
Mailing Address - City:QUEENSBURY
Mailing Address - State:NY
Mailing Address - Zip Code:12804-8347
Mailing Address - Country:US
Mailing Address - Phone:518-307-0009
Mailing Address - Fax:
Practice Address - Street 1:2160 STATE ROUTE 9
Practice Address - Street 2:
Practice Address - City:LAKE GEORGE
Practice Address - State:NY
Practice Address - Zip Code:12845-6120
Practice Address - Country:US
Practice Address - Phone:518-668-0043
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-09-25
Last Update Date:2020-09-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY066979183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist