Provider Demographics
NPI:1316424385
Name:DUNNING, HOLLY (RPH)
Entity type:Individual
Prefix:
First Name:HOLLY
Middle Name:
Last Name:DUNNING
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:47 HASKELL RD
Mailing Address - Street 2:
Mailing Address - City:BANGOR
Mailing Address - State:ME
Mailing Address - Zip Code:04401-4229
Mailing Address - Country:US
Mailing Address - Phone:207-945-9723
Mailing Address - Fax:207-945-9729
Practice Address - Street 1:47 HASKELL RD
Practice Address - Street 2:
Practice Address - City:BANGOR
Practice Address - State:ME
Practice Address - Zip Code:04401-4229
Practice Address - Country:US
Practice Address - Phone:207-945-9723
Practice Address - Fax:207-945-9729
Is Sole Proprietor?:No
Enumeration Date:2018-07-23
Last Update Date:2018-07-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MEPR4242183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist