# HOLLEY PHARMACY INC

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

## Provider details

- **NPI number:** 1568822021
- **Authorized official:** JOHN HOLLEY RPH. (OWNER/PRESIDENT/PIC/AO)
- **Authorized official phone:** (334) 393-0086

## Contact information

- **Practice address:** 612 N MAIN ST STE A, ENTERPRISE, AL 36330-1775
- **Practice address phone:** (334) 393-0086
- **Practice address fax:** (334) 393-0206
- **Mailing address:** 612 N MAIN ST STE A, ENTERPRISE, AL 36330-1775
- **Mailing address phone:** (334) 393-0086
- **Mailing address fax:** (334) 393-0206

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 333600000X | Pharmacy | — | NULL | — |
| 3336C0003X | Community/Retail Pharmacy | 114591 | AL | Yes |

## Other

- **Enumeration date:** 02/26/2016
- **Last updated:** 07/19/2018

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 183049 | — | AL |
| 01 | — | 2158301 | PK | — |