Hollie Lovell, PHARMD
Individual provider Active NPI Pharmacist · Cuba, MO
NPI 1659971471 · NPPES record last updated Oct 30, 2020
Key facts
- NPI
- 1659971471
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 2020029178 (MO)
- Practice address
- 100 Ozark Dr
Cuba, MO 65453-1664 - Phone
- (573) 885-2501
- NPI assigned
- Oct 30, 2020
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2020029178 | MO | MD | Pharmacist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 2020029178 | MO | Yes |
Addresses
Primary practice location
100 Ozark Dr
Cuba, MO 65453-1664
Mailing address
506 E Spruce St
Chatham, IL 62629-1629
Phone (618) 477-2847
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2020029178 | Other | MO | CERTIFICATE |
Other providers in Cuba, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 30, 2020. 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.