Provider Demographics
NPI:1487088225
Name:FLURI, HOLLY ANNE
Entity type:Individual
Prefix:
First Name:HOLLY
Middle Name:ANNE
Last Name:FLURI
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:56 TIMBIRA DR
Mailing Address - Street 2:
Mailing Address - City:GANSEVOORT
Mailing Address - State:NY
Mailing Address - Zip Code:12831-1387
Mailing Address - Country:US
Mailing Address - Phone:518-401-5591
Mailing Address - Fax:
Practice Address - Street 1:1701 ROUTE 9
Practice Address - Street 2:
Practice Address - City:HALFMOON
Practice Address - State:NY
Practice Address - Zip Code:12065-3103
Practice Address - Country:US
Practice Address - Phone:518-371-5303
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-08-28
Last Update Date:2022-04-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY058549183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist