Provider Demographics
NPI:1982872628
Name:DUPLESSIS, HOLLIE COLE
Entity Type:Individual
Prefix:DR
First Name:HOLLIE
Middle Name:COLE
Last Name:DUPLESSIS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:710 E MAIN ST
Mailing Address - Street 2:
Mailing Address - City:ABERDEEN
Mailing Address - State:NC
Mailing Address - Zip Code:28315-3527
Mailing Address - Country:US
Mailing Address - Phone:910-505-9161
Mailing Address - Fax:
Practice Address - Street 1:1706 N SANDHILLS BLVD
Practice Address - Street 2:
Practice Address - City:ABERDEEN
Practice Address - State:NC
Practice Address - Zip Code:28315-2338
Practice Address - Country:US
Practice Address - Phone:910-944-1502
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-02-15
Last Update Date:2021-06-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC146753336C0003X
NC19014183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist
No3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy