Holley Pharmacy

LBN: Holley Pharmacy Inc
Holley Pharmacy is an health care organization with primary practice located at 612 N Main St Ste A , Enterprise AL 36330-1775. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty. Holley Pharmacy Inc can be contacted via phone (334) 393-0086, or through Holley, John via phone (334) 393-0086.

Contact Information

Primary practice address
612 N Main St Ste A Enterprise AL 36330-1775
Phone: (334) 393-0086
Fax: (334) 393-0206
Website:
Map and Directions
Authorized official contact:
Name: Holley, John RPH.
Phone: (334) 393-0086

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X 114591 Alabama

Profile Details

NPI number 1568822021
LBN Legal business name Holley Pharmacy Inc
DBA Doing business as Holley Pharmacy
Authorized official Holley, John RPH.
Entity Organization
Organization subpart 1 No
Enumeration date Feb 26th, 2016
Last updated Jul 19th, 2018 - about 6 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 1568822021 NPPES
Alabama MEDICAID 183049
Alabama Other 2158301

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