Provider Demographics
NPI:1194248765
Name:HOLLOWAY, STEVEN SCOTT (PHARMD)
Entity type:Individual
Prefix:
First Name:STEVEN
Middle Name:SCOTT
Last Name:HOLLOWAY
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4350 US HIGHWAY 70 E
Mailing Address - Street 2:
Mailing Address - City:GOLDSBORO
Mailing Address - State:NC
Mailing Address - Zip Code:27534-9246
Mailing Address - Country:US
Mailing Address - Phone:919-988-6040
Mailing Address - Fax:919-988-6041
Practice Address - Street 1:4350 US HIGHWAY 70 E
Practice Address - Street 2:
Practice Address - City:GOLDSBORO
Practice Address - State:NC
Practice Address - Zip Code:27534-9246
Practice Address - Country:US
Practice Address - Phone:919-988-6040
Practice Address - Fax:919-988-6041
Is Sole Proprietor?:No
Enumeration Date:2017-07-25
Last Update Date:2024-10-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL19928183500000X
NC33209183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist