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HOLLY SPRINGS PHARMACY LLC NPI 1144727199


NPI Information

NPI: 1144727199
Provider Name: HOLLY SPRINGS PHARMACY LLC

Doing Business As: PHARMOORE PHARMACY

Classification: Pharmacy - 3336L0003X
Entity Type: Organization

Specialization: Long Term Care Pharmacy

Address:
3422 SIXES RD STE 302
CANTON, GA
ZIP 30114
Phone: (770) 213-3341
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HOLLY SPRINGS PHARMACY LLC is a long term care pharmacy pharmacy in Canton, GA. The provider is a pharmacy that dispenses medicinal preparations delivered to patients residing within an intermediate or skilled nursing facility, including intermediate care facilities, hospice, assisted living facilities, group homes, and other forms of congregate living arrangements. HOLLY SPRINGS PHARMACY LLC NPI is 1144727199. The provider is registered as an organization entity type.
The provider Is Doing Business As Pharmoore Pharmacy.

The provider's business location address is:

3422 SIXES RD STE 302
CANTON, GA
ZIP 30114-126
Phone: (770) 213-3341
Fax: (770) 213-3294

The provider's authorized official is Jonathan Marquess .
The authorized official title is Owner and has the following contact phone number (770) 948-3133.

The enumeration date for this NPI number is 4/6/2018 and was last updated on 4/6/2018.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1333600000XPharmacyNo
23336L0003XPharmacyLong Term Care PharmacyPHRE009819GEORGIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1003135011AMEDICAIDGEORGIA
22176500OTHERPK

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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