Individual
ANDREW HOLLOWAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
318 MALL BLVD, SAVANNAH, GA 31406-4797
(912) 200-9165
Mailing address
10612 MIDDLEGROUND RD APT 515, SAVANNAH, GA 31419-1268
(229) 255-4150
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
032301
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
032301
STATE BOARD PHARMACY LICENSE
GA
Enumeration date
08/18/2020
Last updated
08/18/2020
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