Provider Demographics
NPI:1871708271
Name:TEMME, HOLLY ANNE (RPH)
Entity type:Individual
Prefix:MRS
First Name:HOLLY
Middle Name:ANNE
Last Name:TEMME
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:496 BEAUREGARD DR
Mailing Address - Street 2:
Mailing Address - City:CHESAPEAKE
Mailing Address - State:VA
Mailing Address - Zip Code:23322-3502
Mailing Address - Country:US
Mailing Address - Phone:757-410-2780
Mailing Address - Fax:
Practice Address - Street 1:3701 KING ST
Practice Address - Street 2:
Practice Address - City:PORTSMOUTH
Practice Address - State:VA
Practice Address - Zip Code:23707-3115
Practice Address - Country:US
Practice Address - Phone:757-397-2437
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-11
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0202010974183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist