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Contact Information

HOLLY STREET DRUGS, LLC
904 HOLLY STREET
HOLLY HILL, SC29059
 Phone: 803-496-0007
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Community/Retail Pharmacy

3336C0003X 58 Medical Supply Company with Pharmacist
Indicates primary specialty

NPI Profile & details for HOLLY STREET DRUGS, LLC

NPI # 1518351139
LBN Legal business name HOLLY STREET DRUGS, LLC
Authorized official RACHEL OSTEEN - (PIC/OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 03/20/2015
Last updated 03/20/2015 - About 11 years ago
Identifiers
SC License # 12676
SC Medicaid 715323
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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