Individual
KENNETH HOLLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1851 W MAIN ST, SALEM, VA 24153-3111
(540) 375-2629
Mailing address
1851 W MAIN ST, SALEM, VA 24153-3111
(540) 375-2629
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
0202006621
VA
Other
Enumeration date
11/03/2020
Last updated
11/03/2020
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