Holladay Healthcare, Inc.

LBN: Holladay Healthcare, Inc.
Holladay Healthcare, Inc. is an health care organization with primary practice located at 2560 Landmark Dr , Winston-Salem NC 27103-6716. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Long Term Care Pharmacy. Suppliers / Long Term Care Pharmacy is the primary health care specialty. Holladay Healthcare, Inc. can be contacted via phone (336) 760-3446, or through Elledge, Nick via phone (336) 679-8852.

Contact Information

Primary practice address
2560 Landmark Dr Winston-Salem NC 27103-6716
Phone: (336) 760-3446
Fax: (336) 765-7710
Website:
Map and Directions
Authorized official contact:
Name: Elledge, Nick
Phone: (336) 679-8852

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X 4512 North Carolina
Suppliers / Long Term Care Pharmacy 3336L0003X 4512 North Carolina

Profile Details

NPI number 1972579811
LBN Legal business name Holladay Healthcare, Inc.
DBA Doing business as
Authorized official Elledge, Nick
Entity Organization
Organization subpart 1 No
Enumeration date Feb 28th, 2006
Last updated Aug 6th, 2007 - about 17 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1972579811 NPPES
North Carolina MEDICAID 0346130

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