Provider Demographics
NPI:1790389849
Name:RICHARDSON, HOLLY L (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:HOLLY
Middle Name:L
Last Name:RICHARDSON
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 1:191 NEW RD
Mailing Address - Street 2:
Mailing Address - City:SOMERS POINT
Mailing Address - State:NJ
Mailing Address - Zip Code:08244-2212
Mailing Address - Country:US
Mailing Address - Phone:609-601-3001
Mailing Address - Fax:609-601-8545
Practice Address - Street 1:191 NEW RD
Practice Address - Street 2:
Practice Address - City:SOMERS POINT
Practice Address - State:NJ
Practice Address - Zip Code:08244-2212
Practice Address - Country:US
Practice Address - Phone:609-601-3001
Practice Address - Fax:609-601-8545
Is Sole Proprietor?:No
Enumeration Date:2020-11-29
Last Update Date:2020-11-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ28RI03244200183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist