Provider Demographics
NPI:1407260664
Name:HOLLIDAY, PATSY DUNN (RPH)
Entity Type:Individual
Prefix:MS
First Name:PATSY
Middle Name:DUNN
Last Name:HOLLIDAY
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 1:5537 WYSE FORK RD
Mailing Address - Street 2:
Mailing Address - City:DOVER
Mailing Address - State:NC
Mailing Address - Zip Code:28526-8839
Mailing Address - Country:US
Mailing Address - Phone:252-523-1065
Mailing Address - Fax:
Practice Address - Street 1:3410 DR M L KING JR BLVD
Practice Address - Street 2:
Practice Address - City:NEW BERN
Practice Address - State:NC
Practice Address - Zip Code:28562-5220
Practice Address - Country:US
Practice Address - Phone:252-638-3021
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-06-16
Last Update Date:2024-03-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC05127183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist