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NPI Code Detail

MEDICARE: DR. HOLLY NIZNIK PHARM.D

MEDICARE: DR. HOLLY NIZNIK PHARM.D
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1183500000XPharmacist26739TN

General Provider Information

NPI Number : 1750693933
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. HOLLY NIZNIK PHARM.D
Provider Business Mailing Address
First Line : 8950 KINGSTON PIKE
Second Line :
City : KNOXVILLE
State : TN
Zip : 37923-5003
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 8950 KINGSTON PIKE
Second Line :
City : KNOXVILLE
State : TN
Zip : 37923-5003
Country : US
Telephone Number : 865-694-1186
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/05/2010
Last Update Date : 07/05/2010

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Directions to “ DR. HOLLY NIZNIK PHARM.D” Practice Location

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