Provider Demographics
NPI:1235308875
Name:HOLLINS, MARSHA JONES (PHARMACIST)
Entity Type:Individual
Prefix:MRS
First Name:MARSHA
Middle Name:JONES
Last Name:HOLLINS
Suffix:
Gender:F
Credentials:PHARMACIST
Other - Prefix:MISS
Other - First Name:MARSHA
Other - Middle Name:TERRY
Other - Last Name:JONES
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:PHARMACIST
Mailing Address - Street 1:4450 NEW MANCHESTER HWY
Mailing Address - Street 2:
Mailing Address - City:TULLAHOMA
Mailing Address - State:TN
Mailing Address - Zip Code:37388-6756
Mailing Address - Country:US
Mailing Address - Phone:931-455-7590
Mailing Address - Fax:
Practice Address - Street 1:909 N WASHINGTON ST
Practice Address - Street 2:
Practice Address - City:TULLAHOMA
Practice Address - State:TN
Practice Address - Zip Code:37388-2313
Practice Address - Country:US
Practice Address - Phone:931-455-1423
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-02-28
Last Update Date:2008-02-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN0000004111183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist