Provider Demographics
NPI:1477836724
Name:HOLLAND, FRANK ARLISS JR
Entity Type:Individual
Prefix:MR
First Name:FRANK
Middle Name:ARLISS
Last Name:HOLLAND
Suffix:JR
Gender:M
Credentials:
Other - Prefix:MR
Other - First Name:FRANK
Other - Middle Name:ARLISS
Other - Last Name:HOLLAND
Other - Suffix:JR
Other - Last Name Type:Other Name
Other - Credentials:RPH
Mailing Address - Street 1:505 HIGHWAY 61 N
Mailing Address - Street 2:
Mailing Address - City:NATCHEZ
Mailing Address - State:MS
Mailing Address - Zip Code:39120-8440
Mailing Address - Country:US
Mailing Address - Phone:601-446-7167
Mailing Address - Fax:601-442-4050
Practice Address - Street 1:505 HIGHWAY 61 N
Practice Address - Street 2:
Practice Address - City:NATCHEZ
Practice Address - State:MS
Practice Address - Zip Code:39120-8440
Practice Address - Country:US
Practice Address - Phone:601-446-7167
Practice Address - Fax:601-442-4050
Is Sole Proprietor?:No
Enumeration Date:2011-09-23
Last Update Date:2011-09-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MSE5862183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist