Organization
HOLLY STREET DRUGS LLC
Active
Other names
Holly Hill Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
RACHEL OSTEEN (OWNER, PRESIDENT, PIC, AO)
(803) 496-0007
Entity
Organization
Contact information
Practice address
904 HOLLY ST, HOLLY HILL, SC 29059-0370
(803) 496-0007
(803) 496-0015
Mailing address
PO BOX 370, HOLLY HILL, SC 29059-0370
(803) 496-0007
(803) 496-0015
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
15323
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2147870
PK
—
05
—
7153235
—
SC
Enumeration date
08/15/2014
Last updated
02/20/2017
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