Provider Demographics
NPI:1235451691
Name:FLOOD, HOLLY JA (PHARMD)
Entity Type:Individual
Prefix:
First Name:HOLLY
Middle Name:JA
Last Name:FLOOD
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 1:101 PATTONWOOD DR
Mailing Address - Street 2:
Mailing Address - City:ROCHESTER
Mailing Address - State:NY
Mailing Address - Zip Code:14617-1409
Mailing Address - Country:US
Mailing Address - Phone:585-342-0705
Mailing Address - Fax:
Practice Address - Street 1:101 PATTONWOOD DR
Practice Address - Street 2:
Practice Address - City:ROCHESTER
Practice Address - State:NY
Practice Address - Zip Code:14617-1409
Practice Address - Country:US
Practice Address - Phone:585-342-0705
Practice Address - Fax:585-544-3589
Is Sole Proprietor?:Yes
Enumeration Date:2010-02-25
Last Update Date:2019-11-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY053466183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist