Organization
HOLLY STREET DRUGS, LLC
Active
Other names
Holly Hill Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
RACHEL OSTEEN (PLC/OWNER)
(803) 496-0007
Entity
Organization
Contact information
Practice address
904 HOLLY ST, HOLLY HILL, SC 29059
(803) 496-0007
(803) 496-0015
Mailing address
PO BOX 370, HOLLY HILL, SC 29059
(803) 496-0007
(803) 496-0015
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
50007564
SC
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
DE2657
—
SC
Enumeration date
03/08/2007
Last updated
07/01/2015
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