Organization
HOLLADAY HEALTHCARE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. NICK ELLEDGE (VICE PRESIDENT)
(336) 679-8852
Entity
Organization
Contact information
Practice address
2560 LANDMARK DR, WINSTON-SALEM, NC 27103-6716
(336) 760-3446
(336) 765-7710
Mailing address
2560 LANDMARK DR, WINSTON-SALEM, NC 27103-6716
(336) 760-3446
(336) 765-7710
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
4512
NC
3336L0003X
Long Term Care Pharmacy
Primary
4512
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0346130
—
NC
Enumeration date
02/28/2006
Last updated
08/06/2007
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