Holly Ann Anderson, PHARM.D.

Individual provider Active NPI Pharmacist · Miami, OK

NPI 1881480366 · NPPES record last updated Apr 19, 2025

Key facts

NPI
1881480366
Entity type
Individual (NPI type 1)
Primary specialty
Pharmacist 183500000X
License
18905 (OK)
Practice address
200 2ND Ave SW
Miami, OK 74354-6830
Phone
(918) 540-7622
Fax
(918) 540-7842
NPI assigned
Apr 19, 2025
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
Credentials
Doctor of Pharmacy

State licenses

LicenseStateTypeSpecialty
18905OKMDAmbulatory Care Pharmacist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Care Pharmacist 1835P2201X 18905 OK
Pharmacist 183500000X 18905 OK Yes

Addresses

Primary practice location

200 2ND Ave SW
Miami, OK 74354-6830

Mailing address

200 2ND Ave SW
Miami, OK 74354-6830
Phone (918) 540-7622

Other providers in Miami, OK

All providers in Miami, OK · Pharmacist in Oklahoma

Sources for this page

Verify at the official NPI Registry.