Provider Demographics
NPI:1194364182
Name:HOLLIS, ALEXANDRIA (PHARMD)
Entity type:Individual
Prefix:
First Name:ALEXANDRIA
Middle Name:
Last Name:HOLLIS
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 1:410 ARTHUR AVE
Mailing Address - Street 2:
Mailing Address - City:SCOTTDALE
Mailing Address - State:PA
Mailing Address - Zip Code:15683-1505
Mailing Address - Country:US
Mailing Address - Phone:724-322-4096
Mailing Address - Fax:
Practice Address - Street 1:15 CENTENNIAL WAY
Practice Address - Street 2:
Practice Address - City:SCOTTDALE
Practice Address - State:PA
Practice Address - Zip Code:15683-1741
Practice Address - Country:US
Practice Address - Phone:724-887-4727
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-12-23
Last Update Date:2025-06-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARP454103183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist