Healthcare Provider Details

I. General information

NPI: 1588679468
Provider Name (Legal Business Name): HOLMES PHARMACY INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/30/2006
Last Update Date: 11/30/2021
Certification Date: 11/30/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

141 N COLLEGE ST
HAMILTON GA
31811-6000
US

IV. Provider business mailing address

PO BOX 407
HAMILTON GA
31811-0407
US

V. Phone/Fax

Practice location:
  • Phone: 706-628-9995
  • Fax: 706-628-9992
Mailing address:
  • Phone: 706-628-9995
  • Fax: 706-689-9992

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code333600000X
TaxonomyPharmacy
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License NumberPHRE008769
License Number StateGA

VIII. Authorized Official

Name: PERRY PRATHER
Title or Position: OWNER
Credential:
Phone: 706-628-9995