Beverly Ann Holland
Individual provider Active NPI Pharmacist · Carson City, MI
NPI 1164535258 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1164535258
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 5302032454 (MI)
- Practice address
- 406 E Elm St
Carson City, MI 48811-9693 - Phone
- (989) 584-3971
- NPI assigned
- Aug 16, 2006
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5302032454 | MI | MD | Pharmacist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 5302032454 | MI | Yes |
Addresses
Primary practice location
406 E Elm St
Carson City, MI 48811-9693
Mailing address
406 E Elm St
Carson City, MI 48811-9693
Phone (989) 584-3971
Other providers in Carson City, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.