Provider Demographics
NPI:1609476720
Name:HOLLAND, WHITNEY LEEANN (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:WHITNEY
Middle Name:LEEANN
Last Name:HOLLAND
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 1:1966 HIGHWAY 65 S
Mailing Address - Street 2:
Mailing Address - City:CLINTON
Mailing Address - State:AR
Mailing Address - Zip Code:72031-6796
Mailing Address - Country:US
Mailing Address - Phone:501-745-2888
Mailing Address - Fax:501-745-5028
Practice Address - Street 1:1966 HIGHWAY 65 S
Practice Address - Street 2:
Practice Address - City:CLINTON
Practice Address - State:AR
Practice Address - Zip Code:72031-6796
Practice Address - Country:US
Practice Address - Phone:501-745-2888
Practice Address - Fax:501-745-5028
Is Sole Proprietor?:No
Enumeration Date:2020-10-28
Last Update Date:2020-10-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ARPD12317183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist