Provider Demographics
NPI:1922551480
Name:HOLLINS, REBECCA ROSE (PHARMD)
Entity type:Individual
Prefix:
First Name:REBECCA
Middle Name:ROSE
Last Name:HOLLINS
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 1:2402 ROUTE 2
Mailing Address - Street 2:UNIT 1
Mailing Address - City:HERMON
Mailing Address - State:ME
Mailing Address - Zip Code:04401-0666
Mailing Address - Country:US
Mailing Address - Phone:207-848-5020
Mailing Address - Fax:207-848-3909
Practice Address - Street 1:2402 ROUTE 2
Practice Address - Street 2:UNIT 1
Practice Address - City:HERMON
Practice Address - State:ME
Practice Address - Zip Code:04401-0666
Practice Address - Country:US
Practice Address - Phone:207-848-5020
Practice Address - Fax:207-848-3909
Is Sole Proprietor?:No
Enumeration Date:2016-08-01
Last Update Date:2016-08-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MEPR46175183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist