Provider Demographics
NPI:1144238478
Name:HOLSHOUSER, KARLA B (RPH)
Entity Type:Individual
Prefix:
First Name:KARLA
Middle Name:B
Last Name:HOLSHOUSER
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5900 NORWOOD KNOLLS WAY
Mailing Address - Street 2:
Mailing Address - City:RALEIGH
Mailing Address - State:NC
Mailing Address - Zip Code:27614-8296
Mailing Address - Country:US
Mailing Address - Phone:919-847-0603
Mailing Address - Fax:
Practice Address - Street 1:10930 RAVEN RIDGE RD
Practice Address - Street 2:SUITE 109
Practice Address - City:RALEIGH
Practice Address - State:NC
Practice Address - Zip Code:27614-6593
Practice Address - Country:US
Practice Address - Phone:919-844-2055
Practice Address - Fax:919-844-2054
Is Sole Proprietor?:No
Enumeration Date:2006-08-03
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC13860183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist