Hollis, Nicki Marie
Hollis, Nicki Marie is an individual health care provider with primary practice located at 2135 N West Ave , El Dorado AR 71730-3351. She recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as her primary health care specialty. Hollis, Nicki Marie can be contacted via phone (870) 862-5458.Contact Information
Primary practice address
2135 N West Ave
El Dorado AR 71730-3351
Phone: (870) 862-5458
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Pharmacy Service Providers / Pharmacist | 183500000X | PD14058 | Arkansas |
Profile Details
| NPI number | 1982119053 |
|---|---|
| LBN Legal business name | Hollis, Nicki Marie |
| Credentials | PHARMD |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 11th, 2017 |
| Last updated | Jun 16th, 2018 - about 6 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1982119053 | NPPES |
| Arkansas | Other | PD14058 | ARKANSAS STATE BOARD OF PHARMACY |
| Arkansas | Other | 479466 | ARKANSAS STATE BOARD OF PHARMACY |
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