=====================================================
General NPI Number Information
=====================================================
NPI Number | 1891590899
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | HOLT DRUGS
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 02/14/2025
-----------------------------------------------------
Last Update Date | 02/14/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 2375 CEDAR ST STE A
-----------------------------------------------------
City | HOLT
-----------------------------------------------------
State | MI
-----------------------------------------------------
Zip | 48842-2119
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 517-800-0111
-----------------------------------------------------
Fax | 517-800-0222
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 2375 CEDAR ST STE A
-----------------------------------------------------
City | HOLT
-----------------------------------------------------
State | MI
-----------------------------------------------------
Zip | 48842-2119
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 517-800-0111
-----------------------------------------------------
Fax | 517-800-0222
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | OWNER
-----------------------------------------------------
Name | HUSSEIN EL-SIBAI
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 313-422-3532
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 333600000X
-----------------------------------------------------
Taxonomy Name | Pharmacy
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------