Provider Demographics
NPI:1750672507
Name:HOLLAND, PAMELA K (RPH)
Entity Type:Individual
Prefix:MRS
First Name:PAMELA
Middle Name:K
Last Name:HOLLAND
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 1:510 WOODBURN RD
Mailing Address - Street 2:DISTRICT OFFICE
Mailing Address - City:RALEIGH
Mailing Address - State:NC
Mailing Address - Zip Code:27605-1326
Mailing Address - Country:US
Mailing Address - Phone:919-833-0195
Mailing Address - Fax:919-833-7972
Practice Address - Street 1:510 WOODBURN RD
Practice Address - Street 2:DISTRICT OFFICE
Practice Address - City:RALEIGH
Practice Address - State:NC
Practice Address - Zip Code:27605-1326
Practice Address - Country:US
Practice Address - Phone:919-833-0195
Practice Address - Fax:919-833-7972
Is Sole Proprietor?:No
Enumeration Date:2011-04-28
Last Update Date:2011-04-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC11652183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist