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General NPI Number Information
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NPI Number | 1194617860
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Entity Type | Individual
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Provider Name | ELIZABETH ASHLEY HOLLEY PHARMD
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Gender | Female
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Dates
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Enumeration Date | 07/17/2025
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Last Update Date | 07/17/2025
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Provider Practice Location Address
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Address Line | 845 S MADISON ST
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City | TUPELO
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State | MS
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Zip | 38801-4905
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Country | US
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Telephone | 662-377-8084
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Fax | 662-377-2191
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Provider Business Mailing Address
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Address Line | 1199 HIGHWAY 30 E
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City | BOONEVILLE
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State | MS
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Zip | 38829-7872
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Country | US
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Telephone | 662-554-1328
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number | E-100781
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License Number State | MS
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