Provider Demographics
NPI:1740696392
Name:DUNN, HOLLI MICHELLE (PHARMD)
Entity type:Individual
Prefix:DR
First Name:HOLLI
Middle Name:MICHELLE
Last Name:DUNN
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 1:244 KYSER BLVD APT 2902
Mailing Address - Street 2:
Mailing Address - City:MADISON
Mailing Address - State:AL
Mailing Address - Zip Code:35758-3131
Mailing Address - Country:US
Mailing Address - Phone:859-229-4421
Mailing Address - Fax:
Practice Address - Street 1:555 SPARKMAN DR NW STE 814
Practice Address - Street 2:
Practice Address - City:HUNTSVILLE
Practice Address - State:AL
Practice Address - Zip Code:35816-3423
Practice Address - Country:US
Practice Address - Phone:256-722-1267
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-07-03
Last Update Date:2014-07-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL17750183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist