Provider Demographics
NPI:1750057162
Name:PRICE, HOLLY K (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:HOLLY
Middle Name:K
Last Name:PRICE
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 1:1701 MAIN ST
Mailing Address - Street 2:
Mailing Address - City:LITTLE ROCK
Mailing Address - State:AR
Mailing Address - Zip Code:72206-1471
Mailing Address - Country:US
Mailing Address - Phone:501-246-5451
Mailing Address - Fax:501-414-8476
Practice Address - Street 1:1701 MAIN ST
Practice Address - Street 2:
Practice Address - City:LITTLE ROCK
Practice Address - State:AR
Practice Address - Zip Code:72206-1471
Practice Address - Country:US
Practice Address - Phone:501-246-5451
Practice Address - Fax:501-414-8476
Is Sole Proprietor?:Yes
Enumeration Date:2021-08-17
Last Update Date:2021-08-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ARPD10187183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist