Individual
DENA MICHELLE HOLLMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
178 W ELLENDALE AVE, DALLAS, OR 97338-1408
(503) 623-8334
Mailing address
PO BOX 568, MERRILL, OR 97633-0568
(541) 880-4825
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
11481
OR
Other
Enumeration date
10/24/2011
Last updated
10/24/2011
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