Hollis, Annette Yvonne

Hollis, Annette Yvonne is an individual health care provider with primary practice located at 3333 E Shelby Dr , Memphis TN 38118-7256. She recently has only one registered license in Pharmacy Service Providers / Pharmacy Technician, which is considered as her primary health care specialty. Hollis, Annette Yvonne can be contacted via phone (901) 900-4502.

Contact Information

Primary practice address
3333 E Shelby Dr Memphis TN 38118-7256
Phone: (901) 900-4502
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacy Technician 183700000X 0000038926 Tennessee

Profile Details

NPI number 1902143522
LBN Legal business name Hollis, Annette Yvonne
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 16th, 2013
Last updated Jan 16th, 2013 - about 13 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1902143522 NPPES
Tennessee MEDICAID 4442531

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