Most Relevant Information
Provider Data
| NPI Number: | 1003412461 |
| Provider Name: | HOLLY HERRING RUDDELL |
| Entity Type: | Individual |
| Taxonomy Code: | 183500000X |
| Specialty: | Pharmacist |
| License Number: | PD07727 |
Most Important Dates
| Enumeration Date: | 12/09/2020 |
| Last Updated: | 12/09/2020 |
Provider Practice Location
1780 N CROSSOVER RD
FAYETTEVILLE
AR
727012045
Practice Location Phone/Fax
| Phone: | 4795711214 |
| Fax: |
Provider Mailing Location
2215 E MEANDERING WAY
FAYETTEVILLE
AR
727012794
Provider Mailing Phone/Fax
| Phone: | 4795305956 |
| Fax: |