# DELTA OF HOLLYWOOD LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Delta Pharmacy & Medical Supply
- **Organization subpart:** No

## Provider details

- **NPI number:** 1356726798
- **Authorized official:** SHERRY PARSONS (MANAGER)
- **Authorized official phone:** (843) 761-5255

## Contact information

- **Practice address:** 6251 HIGHWAY 162, HOLLYWOOD, SC 29449-5782
- **Practice address phone:** (843) 564-5720
- **Practice address fax:** (843) 899-4970
- **Mailing address:** 402 E MAIN ST, MONCKS CORNER, SC 29461-3616
- **Mailing address phone:** (843) 761-5255
- **Mailing address fax:** (843) 899-4970

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336C0003X | Community/Retail Pharmacy | 16077 | SC | Yes |

## Other

- **Enumeration date:** 07/28/2015
- **Last updated:** 04/17/2025

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 2152922 | PK | — |