MEDICARE: HOLMES PHARMACY INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	333600000X	Pharmacy
2	332B00000X	Durable Medical Equipment & Medical Supplies
3	3336C0003X	Community/Retail Pharmacy	PHRE008769	GA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier Issuer
1	2014501	OTHER	PK
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1588679468
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HOLMES PHARMACY INC

Provider Business Mailing Address
First Line	:	PO BOX 407
Second Line	:
City	:	HAMILTON
State	:	GA
Zip	:	31811-0407
Country	:	US
Telephone Number	:	706-628-9995
Fax Number	:	706-689-9992

Provider Business Practice Location Address
First Line	:	141 N COLLEGE ST
Second Line	:
City	:	HAMILTON
State	:	GA
Zip	:	31811-6000
Country	:	US
Telephone Number	:	706-628-9995
Fax Number	:	706-628-9992

Authorized Official
Title or Position	:	OWNER
Name	:	PERRY PRATHER
Credential	:
Telephone Number	:	706-628-9995

Provider Enumeration Date	:	07/30/2006
Last Update Date	:	11/30/2021

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Directions to “HOLMES PHARMACY INC ” Practice Location

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