Holly Pharmacy Inc

LBN: Holly Pharmacy Inc
Holly Pharmacy Inc is an health care organization with primary practice located at 31 N Baltimore Ave , Mount Holly Springs PA 17065-1302. 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. Holly Pharmacy Inc can be contacted via phone (717) 486-5321, or through Gobin, Bryan R via phone (717) 486-8606.

Contact Information

Primary practice address
31 N Baltimore Ave Mount Holly Springs PA 17065-1302
Phone: (717) 486-5321
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Gobin, Bryan R
Phone: (717) 486-8606

Health care specialties

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

Profile Details

NPI number 1013063916
LBN Legal business name Holly Pharmacy Inc
DBA Doing business as
Authorized official Gobin, Bryan R
Entity Organization
Organization subpart 1 No
Enumeration date Jan 25th, 2007
Last updated Jan 23rd, 2019 - about 5 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 1013063916 NPPES
Pennsylvania MEDICAID 11238470002

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