Organization
HOLLY SPRINGS PHARMACY LLC
Active
Other names
Holly Springs Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SUZAN KALANTAR PHARMD (MEMBER)
(919) 346-6689
Entity
Organization
Contact information
Practice address
648 HOLLY SPRINGS RD, HOLLY SPRINGS, NC 27540-9030
(919) 346-6689
(919) 346-6691
Mailing address
648 HOLLY SPRINGS RD, HOLLY SPRINGS, NC 27540-9030
(919) 346-6689
(919) 346-6691
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
—
—
3336S0011X
Specialty Pharmacy
Primary
12954
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1023495272
—
NC
01
—
3464839
NCPDP
NC
Enumeration date
04/27/2015
Last updated
08/10/2017
Update your record
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