Most Relevant Information
Provider Data
| NPI Number: | 1003484551 |
| Provider Name: | HOLLY LYNN HUDSON CPHT |
| Entity Type: | Individual |
| Taxonomy Code: | 183700000X |
| Specialty: | Pharmacy Technician |
| License Number: |
Most Important Dates
| Enumeration Date: | 06/11/2021 |
| Last Updated: | 06/11/2021 |
Provider Practice Location
1186 BALDWIN AVE
PONTIAC
MI
483402708
Practice Location Phone/Fax
| Phone: | 2483337057 |
| Fax: | 2483338097 |
Provider Mailing Location
1186 BALDWIN AVE
PONTIAC
MI
483402708
Provider Mailing Phone/Fax
| Phone: | 2483337057 |
| Fax: | 2483338097 |