Provider Demographics
NPI:1811259666
Name:MCDOWELL, HOLLIE (PHARM D)
Entity type:Individual
Prefix:
First Name:HOLLIE
Middle Name:
Last Name:MCDOWELL
Suffix:
Gender:F
Credentials:PHARM D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2007 BLISSWOOD ST
Mailing Address - Street 2:
Mailing Address - City:POCAHONTAS
Mailing Address - State:AR
Mailing Address - Zip Code:72455-1753
Mailing Address - Country:US
Mailing Address - Phone:870-378-5793
Mailing Address - Fax:
Practice Address - Street 1:1415 HIGHWAY 67 S
Practice Address - Street 2:
Practice Address - City:POCAHONTAS
Practice Address - State:AR
Practice Address - Zip Code:72455-4000
Practice Address - Country:US
Practice Address - Phone:870-892-4441
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-06-07
Last Update Date:2012-06-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ARPD08349183500000X
MO2006038094183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist