Provider Demographics
NPI:1710133558
Name:HOLFORD, RICHARD EARL II (PHARMD)
Entity Type:Individual
Prefix:
First Name:RICHARD
Middle Name:EARL
Last Name:HOLFORD
Suffix:II
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1205 NEWFANE CIR
Mailing Address - Street 2:
Mailing Address - City:KNOXVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37922-1429
Mailing Address - Country:US
Mailing Address - Phone:731-234-6770
Mailing Address - Fax:
Practice Address - Street 1:1117 S MILES AVE
Practice Address - Street 2:SUITE 1
Practice Address - City:UNION CITY
Practice Address - State:TN
Practice Address - Zip Code:38261-5439
Practice Address - Country:US
Practice Address - Phone:731-885-2226
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-08-12
Last Update Date:2022-04-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN11073183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist