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Organization
HOLLOWAY PHARMACY LLC
Active
Organization
HOLLOWAY PHARMACY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BRANDON LOUIS WILLIS PHARM D (OWNER/PHARMACIST)
(318) 466-3113
Entity
Organization
Contact information
Practice address
12805 HIGHWAY 28 E, STE A, PINEVILLE, LA 71360-0734
(318) 466-3113
(318) 466-1441
Mailing address
12805 HIGHWAY 28 E, STE A, PINEVILLE, LA 71360-0734
(318) 466-3113
(318) 466-1441
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
PHY.007057-IR
LA
Other
Enumeration date
01/28/2015
Last updated
03/02/2017
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