# HOLLY STREET DRUGS, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1518351139
- **Authorized official:** RACHEL OSTEEN (PIC/OWNER)
- **Authorized official phone:** (803) 496-0007

## Contact information

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

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336C0003X | Community/Retail Pharmacy | 12676 | SC | Yes |

## Other

- **Enumeration date:** 03/20/2015
- **Last updated:** 03/20/2015

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 715323 | — | SC |