Provider Demographics
NPI:1952932584
Name:DAVIS, HOLLAND JOY (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:HOLLAND
Middle Name:JOY
Last Name:DAVIS
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 1:5106 WESTERN LN
Mailing Address - Street 2:
Mailing Address - City:VERNON
Mailing Address - State:TX
Mailing Address - Zip Code:76384-7586
Mailing Address - Country:US
Mailing Address - Phone:816-718-2563
Mailing Address - Fax:
Practice Address - Street 1:3800 US HIGHWAY 287 W
Practice Address - Street 2:
Practice Address - City:VERNON
Practice Address - State:TX
Practice Address - Zip Code:76384-3280
Practice Address - Country:US
Practice Address - Phone:940-552-8069
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-02-02
Last Update Date:2020-02-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX51635183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist