Healthcare Provider Details

I. General information

NPI: 1740471465
Provider Name (Legal Business Name): ASHLEY HOLLAND MEREDITH PHARMD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: ASHLEY LAUREN HOLLAND

II. Dates (important events)

Enumeration Date: 08/07/2007
Last Update Date: 05/29/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

640 ESKENAZI AVE FL 3BANK3
INDIANAPOLIS IN
46202
US

IV. Provider business mailing address

640 ESKENAZI AVE FL 3BANK3
INDIANAPOLIS IN
46202-5173
US

V. Phone/Fax

Practice location:
  • Phone: 317-880-5407
  • Fax:
Mailing address:
  • Phone: 317-880-5407
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code1835P0018X
TaxonomyPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
License Number26023229A
License Number StateIN
# 2
Primary TaxonomyY
Taxonomy Code1835P2201X
TaxonomyAmbulatory Care Pharmacist
License Number260233209A
License Number StateIN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: