Provider Demographics
NPI:1710448030
Name:HOLLAND PHARMACY LLC
Entity Type:Organization
Organization Name:HOLLAND PHARMACY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:MURALI
Authorized Official - Middle Name:C
Authorized Official - Last Name:GINJUPALLI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:989-906-4232
Mailing Address - Street 1:700 MICHIGAN AVE
Mailing Address - Street 2:
Mailing Address - City:HOLLAND
Mailing Address - State:MI
Mailing Address - Zip Code:49423-6944
Mailing Address - Country:US
Mailing Address - Phone:616-392-8507
Mailing Address - Fax:616-392-8681
Practice Address - Street 1:700 MICHIGAN AVE
Practice Address - Street 2:
Practice Address - City:HOLLAND
Practice Address - State:MI
Practice Address - Zip Code:49423-6944
Practice Address - Country:US
Practice Address - Phone:616-392-8507
Practice Address - Fax:616-392-8681
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-03-28
Last Update Date:2022-01-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies