Provider Demographics
NPI:1730188723
Name:TEMPLE, HOLLI L (PHARMD)
Entity type:Individual
Prefix:DR
First Name:HOLLI
Middle Name:L
Last Name:TEMPLE
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 1:4309 PALLADIO DR
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78731-1801
Mailing Address - Country:US
Mailing Address - Phone:512-901-1413
Mailing Address - Fax:512-901-1499
Practice Address - Street 1:12221 MOPAC EXPRESSWAY NORTH
Practice Address - Street 2:DEPT OF PHARMACY
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78758-2496
Practice Address - Country:US
Practice Address - Phone:512-901-1413
Practice Address - Fax:512-901-1499
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-07-20
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX352661835P1200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835P1200XPharmacy Service ProvidersPharmacistPharmacotherapy