Provider Demographics
NPI:1639894918
Name:MARCUM, HOLLY NOELLE (PHARMD)
Entity Type:Individual
Prefix:
First Name:HOLLY
Middle Name:NOELLE
Last Name:MARCUM
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:HOLLY
Other - Middle Name:NOELLE
Other - Last Name:PICK
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PHARMD
Mailing Address - Street 1:7317 CRESTHILL DR APT C9
Mailing Address - Street 2:
Mailing Address - City:KNOXVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37919-5916
Mailing Address - Country:US
Mailing Address - Phone:423-748-0433
Mailing Address - Fax:
Practice Address - Street 1:121 N NORTHSHORE DR
Practice Address - Street 2:
Practice Address - City:KNOXVILLE
Practice Address - State:TN
Practice Address - Zip Code:37919-4048
Practice Address - Country:US
Practice Address - Phone:865-588-6755
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-10-10
Last Update Date:2022-10-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN45431183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist