Organization
HOLLEY PHARMACY INC
Active
Other names
Holley Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN HOLLEY RPH. (OWNER/PRESIDENT/PIC/AO)
(334) 393-0086
Entity
Organization
Contact information
Practice address
612 N MAIN ST STE A, ENTERPRISE, AL 36330-1775
(334) 393-0086
(334) 393-0206
Mailing address
612 N MAIN ST STE A, ENTERPRISE, AL 36330-1775
(334) 393-0086
(334) 393-0206
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
114591
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
183049
—
AL
01
—
2158301
PK
—
Enumeration date
02/26/2016
Last updated
07/19/2018
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us