Provider Demographics
NPI:1710544002
Name:HOLLOWAY, CHRISTIANE AALIYAH (RPH)
Entity Type:Individual
Prefix:DR
First Name:CHRISTIANE
Middle Name:AALIYAH
Last Name:HOLLOWAY
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8267 MEADOWOOD DR
Mailing Address - Street 2:
Mailing Address - City:HANOVER
Mailing Address - State:MD
Mailing Address - Zip Code:21076-1193
Mailing Address - Country:US
Mailing Address - Phone:804-229-8737
Mailing Address - Fax:
Practice Address - Street 1:7400 RITCHIE HWY
Practice Address - Street 2:
Practice Address - City:GLEN BURNIE
Practice Address - State:MD
Practice Address - Zip Code:21061-3110
Practice Address - Country:US
Practice Address - Phone:410-760-2112
Practice Address - Fax:410-760-2119
Is Sole Proprietor?:No
Enumeration Date:2019-05-22
Last Update Date:2019-05-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD259241835P0018X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835P0018XPharmacy Service ProvidersPharmacistPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist