Individual
MARISSA S HOLLOWAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
107 NE DELAWARE AVE STE 6, ANKENY, IA 50021-6691
(515) 964-8550
(515) 963-4055
Mailing address
783 NE 5TH ST APT 203, ANKENY, IA 50021-4760
(515) 822-9519
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
23718
IA
Other
Enumeration date
09/12/2019
Last updated
11/29/2019
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