Organization
HOLTS PHARMACY INC
Active
Other names
HOLTS PHARMACY INC
Organization subpart
No
Provider details
NPI number
Authorized official
LARRY HOLT RPH (PRES)
(770) 382-5757
Entity
Organization
Contact information
Practice address
406 GRASSDALE RD, CARTERSVILLE, GA 30121-1975
(770) 382-5757
(770) 382-6757
Mailing address
406 GRASSDALE RD, CARTERSVILLE, GA 30121-1975
(770) 382-5757
(770) 382-6757
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
PHRE005859
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00305885A
—
GA
01
—
1125120
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
04/03/2007
Last updated
11/04/2009
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