Organization
HOLLY STREET DRUGS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RACHEL OSTEEN (PIC/OWNER)
(803) 496-0007
Entity
Organization
Contact information
Practice address
904 HOLLY STREET, HOLLY HILL, SC 29059
(803) 496-0007
Mailing address
PO BOX 370, HOLLY HILL, SC 29059-0370
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
12676
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
715323
—
SC
Enumeration date
03/20/2015
Last updated
03/20/2015
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