Provider Demographics
NPI:1225318793
Name:HOLDERFIELD, MEREDITH COLLIN (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:MEREDITH
Middle Name:COLLIN
Last Name:HOLDERFIELD
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 1:1204 SE 28TH ST
Mailing Address - Street 2:SUITE 2
Mailing Address - City:BENTONVILLE
Mailing Address - State:AR
Mailing Address - Zip Code:72712-3881
Mailing Address - Country:US
Mailing Address - Phone:479-250-1443
Mailing Address - Fax:
Practice Address - Street 1:1204 SE 28TH ST
Practice Address - Street 2:SUITE 2
Practice Address - City:BENTONVILLE
Practice Address - State:AR
Practice Address - Zip Code:72712-3881
Practice Address - Country:US
Practice Address - Phone:888-414-5805
Practice Address - Fax:855-422-2400
Is Sole Proprietor?:Yes
Enumeration Date:2011-08-27
Last Update Date:2023-07-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LAPST.021005183500000X
ARPD11687183500000X
TN39081183500000X
MST-13927183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist