Provider Demographics
NPI:1184855140
Name:HOLLEY, D'ANNE KAY (R PH)
Entity Type:Individual
Prefix:MRS
First Name:D'ANNE
Middle Name:KAY
Last Name:HOLLEY
Suffix:
Gender:F
Credentials:R PH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4490 LONE EAGLE DR
Mailing Address - Street 2:
Mailing Address - City:BILLINGS
Mailing Address - State:MT
Mailing Address - Zip Code:59106-9680
Mailing Address - Country:US
Mailing Address - Phone:406-896-8805
Mailing Address - Fax:406-896-1013
Practice Address - Street 1:4490 LONE EAGLE DR
Practice Address - Street 2:
Practice Address - City:BILLINGS
Practice Address - State:MT
Practice Address - Zip Code:59106-9680
Practice Address - Country:US
Practice Address - Phone:406-896-8805
Practice Address - Fax:406-896-1013
Is Sole Proprietor?:Yes
Enumeration Date:2009-08-06
Last Update Date:2009-08-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MT2746183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist