Olde Time Pharmacy at Sixes, LLC
NPI #1831476316 in Holly Springs, Georgia
Provider Information
- NPI Number
- 1831476316
- Entity Type
- Organization
- Organization Name
- Olde Time Pharmacy at Sixes, LLC
- Primary Specialty
- Clinic/Center
- Enumeration Date
- Nov 10, 2011
- Last Updated
- Nov 10, 2011
Practice Location
- Address
- 684 SIXES RD
- Address 2
- SUITE 105
- City
- Holly Springs
- State
- Georgia
- ZIP Code
- 30115-8721
- Phone
- (678) 445-4486
Authorized Official
- Name
- SHAD SUTHERLAND
- Title
- MANAGER
- Phone
- (678) 445-4486
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center |
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