Provider Demographics
NPI:1710268297
Name:HOBBS, HOLLY SUZANNE (PHARMD)
Entity Type:Individual
Prefix:MISS
First Name:HOLLY
Middle Name:SUZANNE
Last Name:HOBBS
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 1:3001 PINK PIGEON PKWY
Mailing Address - Street 2:
Mailing Address - City:LEXINGTON
Mailing Address - State:KY
Mailing Address - Zip Code:40509-8000
Mailing Address - Country:US
Mailing Address - Phone:859-543-8665
Mailing Address - Fax:859-543-0117
Practice Address - Street 1:3001 PINK PIGEON PKWY
Practice Address - Street 2:
Practice Address - City:LEXINGTON
Practice Address - State:KY
Practice Address - Zip Code:40509-8000
Practice Address - Country:US
Practice Address - Phone:859-543-8665
Practice Address - Fax:859-543-0117
Is Sole Proprietor?:Yes
Enumeration Date:2011-08-29
Last Update Date:2011-08-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY013779183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist