Provider Demographics
NPI:1528470176
Name:HOLLEMAN, NANCY A (PHARMD)
Entity type:Individual
Prefix:DR
First Name:NANCY
Middle Name:A
Last Name:HOLLEMAN
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2180 ADA AVE STE 100
Mailing Address - Street 2:
Mailing Address - City:CONWAY
Mailing Address - State:AR
Mailing Address - Zip Code:72034-4014
Mailing Address - Country:US
Mailing Address - Phone:501-255-3500
Mailing Address - Fax:501-255-3434
Practice Address - Street 1:2180 ADA AVE STE 100
Practice Address - Street 2:
Practice Address - City:CONWAY
Practice Address - State:AR
Practice Address - Zip Code:72034-4014
Practice Address - Country:US
Practice Address - Phone:501-255-3500
Practice Address - Fax:501-255-3434
Is Sole Proprietor?:No
Enumeration Date:2014-05-29
Last Update Date:2025-04-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ARPD08724183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist