Provider Demographics
NPI:1619026325
Name:JARNIGAN, HOLLIS BARRY (RPH)
Entity Type:Individual
Prefix:MR
First Name:HOLLIS
Middle Name:BARRY
Last Name:JARNIGAN
Suffix:
Gender:M
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4561 W WOODLAWN CIR
Mailing Address - Street 2:
Mailing Address - City:COLLIERVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:38017-9426
Mailing Address - Country:US
Mailing Address - Phone:901-359-4476
Mailing Address - Fax:
Practice Address - Street 1:4561 W WOODLAWN CIR
Practice Address - Street 2:
Practice Address - City:COLLIERVILLE
Practice Address - State:TN
Practice Address - Zip Code:38017-9426
Practice Address - Country:US
Practice Address - Phone:901-359-4476
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-10
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL10982183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist