Individual
DR. LISA MARIE HOLLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
1232 STORRS RD, #6, STORRS, CT 06268-2232
(860) 634-3697
Mailing address
69 N EAGLEVILLE RD, UNIT 3092, STORRS, CT 06269-3092
(860) 634-3697
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PCT.0011838
CT
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
PCT.0011838
CT
1835X0200X
Oncology Pharmacist
PCT.0011838
CT
Other
Enumeration date
05/25/2011
Last updated
05/25/2011
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