Olde Time Pharmacy at Sixes LLC
NPI #1912208539 in Holly Springs, Georgia
Provider Information
- NPI Number
- 1912208539
- Entity Type
- Organization
- Organization Name
- Olde Time Pharmacy at Sixes LLC
- Primary Specialty
- Pharmacy - Community/Retail Pharmacy
- Enumeration Date
- Nov 12, 2010
- Last Updated
- Dec 1, 2010
Practice Location
- Address
- 684 SIXES RD STE 105
- City
- Holly Springs
- State
- Georgia
- ZIP Code
- 30115-8720
- Phone
- (770) 783-0483
Authorized Official
- Name
- SHAD SUTHERLAND
- Title
- OWNER
- Phone
- (770) 783-0483
Specialties & Taxonomy Codes
| Specialty |
|---|
| Pharmacy |
| Pharmacy - Community/Retail Pharmacy — Community/Retail Pharmacy |
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