Provider Demographics
NPI:1760665954
Name:ALVARADO, HOLLY G (PHARMD, CPP)
Entity Type:Individual
Prefix:
First Name:HOLLY
Middle Name:G
Last Name:ALVARADO
Suffix:
Gender:F
Credentials:PHARMD, CPP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:205 SANDALWOOD AVE STE C
Mailing Address - Street 2:
Mailing Address - City:LOUISBURG
Mailing Address - State:NC
Mailing Address - Zip Code:27549-2679
Mailing Address - Country:US
Mailing Address - Phone:252-231-4004
Mailing Address - Fax:252-231-4043
Practice Address - Street 1:205 SANDALWOOD AVE STE C
Practice Address - Street 2:
Practice Address - City:LOUISBURG
Practice Address - State:NC
Practice Address - Zip Code:27549-2679
Practice Address - Country:US
Practice Address - Phone:252-231-4004
Practice Address - Fax:252-231-4043
Is Sole Proprietor?:No
Enumeration Date:2007-12-11
Last Update Date:2023-03-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC18878183500000X, 1835P0018X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835P0018XPharmacy Service ProvidersPharmacistPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
No183500000XPharmacy Service ProvidersPharmacist