Provider Demographics
NPI:1770038960
Name:HOLLEMAN, CURTIS E JR (RPH)
Entity Type:Individual
Prefix:
First Name:CURTIS
Middle Name:E
Last Name:HOLLEMAN
Suffix:JR
Gender:M
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:118 MACKENAN DR STE 200
Mailing Address - Street 2:
Mailing Address - City:CARY
Mailing Address - State:NC
Mailing Address - Zip Code:27511-3600
Mailing Address - Country:US
Mailing Address - Phone:866-463-5550
Mailing Address - Fax:
Practice Address - Street 1:118 MACKENAN DR STE 200
Practice Address - Street 2:
Practice Address - City:CARY
Practice Address - State:NC
Practice Address - Zip Code:27511-3600
Practice Address - Country:US
Practice Address - Phone:866-463-5550
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-08-17
Last Update Date:2020-09-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC11362183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist