Provider Demographics
NPI:1952158461
Name:HOLLAND, QUANESHA TERRI (PHARMD)
Entity type:Individual
Prefix:DR
First Name:QUANESHA
Middle Name:TERRI
Last Name:HOLLAND
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 1:8455 FENTON ST
Mailing Address - Street 2:
Mailing Address - City:SILVER SPRING
Mailing Address - State:MD
Mailing Address - Zip Code:20910-4995
Mailing Address - Country:US
Mailing Address - Phone:336-541-3635
Mailing Address - Fax:
Practice Address - Street 1:2000 PENNSYLVANIA AVE NW
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20006-1812
Practice Address - Country:US
Practice Address - Phone:202-299-0138
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-05-02
Last Update Date:2024-05-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD26785183500000X
DCPH100002880183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist