Provider Demographics
NPI:1336423805
Name:FRONTZ, HOLLY M (RPH)
Entity Type:Individual
Prefix:
First Name:HOLLY
Middle Name:M
Last Name:FRONTZ
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 1:776 ROHEN RIDGE DR
Mailing Address - Street 2:
Mailing Address - City:LITITZ
Mailing Address - State:PA
Mailing Address - Zip Code:17543-7202
Mailing Address - Country:US
Mailing Address - Phone:717-664-5126
Mailing Address - Fax:
Practice Address - Street 1:776 ROHEN RIDGE DR
Practice Address - Street 2:
Practice Address - City:LITITZ
Practice Address - State:PA
Practice Address - Zip Code:17543-7202
Practice Address - Country:US
Practice Address - Phone:717-664-5126
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-10-03
Last Update Date:2011-10-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARP037694L183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist