Provider Demographics
NPI:1508492646
Name:HOLLENBECK, JOSEPH MICHAEL (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:JOSEPH
Middle Name:MICHAEL
Last Name:HOLLENBECK
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:JOEY
Other - Middle Name:
Other - Last Name:HOLLENBECK
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:PHARMD
Mailing Address - Street 1:532 HARTSVILLE PIKE
Mailing Address - Street 2:
Mailing Address - City:GALLATIN
Mailing Address - State:TN
Mailing Address - Zip Code:37066-2496
Mailing Address - Country:US
Mailing Address - Phone:615-452-6111
Mailing Address - Fax:615-451-0201
Practice Address - Street 1:532 HARTSVILLE PIKE
Practice Address - Street 2:
Practice Address - City:GALLATIN
Practice Address - State:TN
Practice Address - Zip Code:37066-2496
Practice Address - Country:US
Practice Address - Phone:615-452-6111
Practice Address - Fax:615-451-0201
Is Sole Proprietor?:No
Enumeration Date:2020-03-20
Last Update Date:2020-03-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN39209183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist