Provider Demographics
NPI:1346603016
Name:HOLINEJ, DONNA C (RPH)
Entity Type:Individual
Prefix:
First Name:DONNA
Middle Name:C
Last Name:HOLINEJ
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 1:525 PHILLIPS RD
Mailing Address - Street 2:
Mailing Address - City:MONTROSE
Mailing Address - State:PA
Mailing Address - Zip Code:18801-8391
Mailing Address - Country:US
Mailing Address - Phone:570-396-0033
Mailing Address - Fax:
Practice Address - Street 1:25059 SR 11
Practice Address - Street 2:PO BOX L
Practice Address - City:HALLSTEAD
Practice Address - State:PA
Practice Address - Zip Code:18822
Practice Address - Country:US
Practice Address - Phone:570-879-2125
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-03-31
Last Update Date:2016-03-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARP035976L183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist
Provider Identifiers
StateIdentifier IDID TypeIssuer
PARP035976LOtherPA STATE LICENSE