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HOLLADAY HEALTHCARE INC. NPI 1972579811


NPI Information

NPI: 1972579811
Provider Name: HOLLADAY HEALTHCARE, INC.
Classification: Pharmacy - 3336L0003X
Entity Type: Organization

Specialization: Long Term Care Pharmacy

Address:
2560 LANDMARK DR
WINSTON-SALEM, NC
ZIP 27103
Phone: (336) 760-3446
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HOLLADAY HEALTHCARE, INC. is a long term care pharmacy pharmacy in Winston-salem, NC. 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. HOLLADAY HEALTHCARE, INC. NPI is 1972579811. The provider is registered as an organization entity type.

The provider's business location address is:

2560 LANDMARK DR
WINSTON-SALEM, NC
ZIP 27103-716
Phone: (336) 760-3446
Fax: (336) 765-7710

The provider's authorized official is Nick Elledge .
The authorized official title is Vice President and has the following contact phone number (336) 679-8852.

The enumeration date for this NPI number is 2/28/2006 and was last updated on 8/6/2007.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1333600000XPharmacy4512NORTH CAROLINANo
23336L0003XPharmacyLong Term Care Pharmacy4512NORTH CAROLINAYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
10249600001MEDICARE ID-TYPE UNSPECIFIEDNORTH CAROLINAMEDICARE PART B PROVIDER
20346130MEDICAIDNORTH CAROLINA

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: 4/28/2024

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