Provider Demographics
NPI:1447520721
Name:STERN, HOLLI (PHARMD)
Entity type:Individual
Prefix:DR
First Name:HOLLI
Middle Name:
Last Name:STERN
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 1:18122 BURR OAK LN
Mailing Address - Street 2:
Mailing Address - City:JUPITER
Mailing Address - State:FL
Mailing Address - Zip Code:33478-2247
Mailing Address - Country:US
Mailing Address - Phone:561-398-4037
Mailing Address - Fax:
Practice Address - Street 1:18122 BURR OAK LN
Practice Address - Street 2:
Practice Address - City:JUPITER
Practice Address - State:FL
Practice Address - Zip Code:33478-2247
Practice Address - Country:US
Practice Address - Phone:561-398-4037
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-01-04
Last Update Date:2012-01-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPS43977183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist