Provider Demographics
NPI:1528376837
Name:MILHOLLAND, CARRIE A (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:CARRIE
Middle Name:A
Last Name:MILHOLLAND
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:22 SMALLWOOD LN
Mailing Address - Street 2:
Mailing Address - City:GREENBRIER
Mailing Address - State:AR
Mailing Address - Zip Code:72058-9531
Mailing Address - Country:US
Mailing Address - Phone:501-679-5519
Mailing Address - Fax:501-679-0754
Practice Address - Street 1:15 NORTH BROADVIEW ST
Practice Address - Street 2:
Practice Address - City:GREENBRIER
Practice Address - State:AR
Practice Address - Zip Code:72058-9231
Practice Address - Country:US
Practice Address - Phone:501-679-0470
Practice Address - Fax:501-679-0754
Is Sole Proprietor?:No
Enumeration Date:2010-09-21
Last Update Date:2011-08-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ARAR08859183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist