# HOLLY STREET DRUGS LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Holly Hill Pharmacy
- **Organization subpart:** No

## Provider details

- **NPI number:** 1417356320
- **Authorized official:** RACHEL OSTEEN (OWNER, PRESIDENT, PIC, AO)
- **Authorized official phone:** (803) 496-0007

## Contact information

- **Practice address:** 904 HOLLY ST, HOLLY HILL, SC 29059-0370
- **Practice address phone:** (803) 496-0007
- **Practice address fax:** (803) 496-0015
- **Mailing address:** PO BOX 370, HOLLY HILL, SC 29059-0370
- **Mailing address phone:** (803) 496-0007
- **Mailing address fax:** (803) 496-0015

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 333600000X | Pharmacy | — | NULL | — |
| 3336C0003X | Community/Retail Pharmacy | 15323 | SC | Yes |

## Other

- **Enumeration date:** 08/15/2014
- **Last updated:** 02/20/2017

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 2147870 | PK | — |
| 05 | — | 7153235 | — | SC |