Provider Demographics
NPI:1841514684
Name:HOLLAND, JAMES KEVIN SR (RPH)
Entity type:Individual
Prefix:MR
First Name:JAMES
Middle Name:KEVIN
Last Name:HOLLAND
Suffix:SR
Gender:M
Credentials:RPH
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:17 RED OAK LN
Mailing Address - Street 2:
Mailing Address - City:CARMEL
Mailing Address - State:IN
Mailing Address - Zip Code:46033-1973
Mailing Address - Country:US
Mailing Address - Phone:317-489-1340
Mailing Address - Fax:317-585-2465
Practice Address - Street 1:8375 E 96TH ST
Practice Address - Street 2:
Practice Address - City:INDIANAPOLIS
Practice Address - State:IN
Practice Address - Zip Code:46256-1014
Practice Address - Country:US
Practice Address - Phone:317-585-2433
Practice Address - Fax:317-585-2465
Is Sole Proprietor?:No
Enumeration Date:2010-03-23
Last Update Date:2010-03-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN26018954183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist