Holler, Cody A

Holler, Cody A is an individual health care provider with primary practice located at 655 Main St Nw , Bourbonnais IL 60914-2303. He recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as his primary health care specialty. Holler, Cody A can be contacted via phone (815) 929-0590.

Contact Information

Primary practice address
655 Main St Nw Bourbonnais IL 60914-2303
Phone: (815) 929-0590
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacist 183500000X 26028639A Indiana
Pharmacy Service Providers / Pharmacist 183500000X 051303007 Illinois

Profile Details

NPI number 1396369302
LBN Legal business name Holler, Cody A
Credentials PHARMD
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 4th, 2020
Last updated Jun 4th, 2020 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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