Provider Demographics
NPI:1639894918
Name:BEECHAM, HOLLY NOELLE (PHARMD)
Entity type:Individual
Prefix:
First Name:HOLLY
Middle Name:NOELLE
Last Name:BEECHAM
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:HOLLY
Other - Middle Name:NOELLE
Other - Last Name:PICK
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PHARMD
Mailing Address - Street 1:750 WINFIELD DUNN PKWY
Mailing Address - Street 2:
Mailing Address - City:SEVIERVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37876-5561
Mailing Address - Country:US
Mailing Address - Phone:423-748-0433
Mailing Address - Fax:
Practice Address - Street 1:750 WINFIELD DUNN PKWY
Practice Address - Street 2:
Practice Address - City:SEVIERVILLE
Practice Address - State:TN
Practice Address - Zip Code:37876-5561
Practice Address - Country:US
Practice Address - Phone:865-280-6271
Practice Address - Fax:865-978-6383
Is Sole Proprietor?:No
Enumeration Date:2022-10-10
Last Update Date:2025-02-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN45431183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist