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Organization

DELTA OF HOLLYWOOD LLC

Active
Other names
Delta Pharmacy & Medical Supply
Organization subpart
No

Provider details

NPI number
Authorized official
SHERRY PARSONS (MANAGER)
(843) 761-5255
Entity
Organization

Contact information

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

Taxonomy

Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
16077
SC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
2152922
PK
Enumeration date
07/28/2015
Last updated
04/17/2025
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