Provider Demographics
NPI:1417299405
Name:GHERING, HOLLY LEE
Entity Type:Individual
Prefix:
First Name:HOLLY
Middle Name:LEE
Last Name:GHERING
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1015 BUFFALO ST
Mailing Address - Street 2:
Mailing Address - City:FRANKLIN
Mailing Address - State:PA
Mailing Address - Zip Code:16323-1207
Mailing Address - Country:US
Mailing Address - Phone:814-432-9400
Mailing Address - Fax:814-432-9402
Practice Address - Street 1:1015 BUFFALO ST
Practice Address - Street 2:
Practice Address - City:FRANKLIN
Practice Address - State:PA
Practice Address - Zip Code:16323-1207
Practice Address - Country:US
Practice Address - Phone:814-432-9400
Practice Address - Fax:814-432-9402
Is Sole Proprietor?:No
Enumeration Date:2013-03-18
Last Update Date:2013-03-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARP038986L183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist