Organization · Type 2 NPI
Olde Time Pharmacy Inc
Durable Medical Equipment & Medical Supplies · Holly Springs, GA
Practice location
402 Argonne Terrace, Suite 230
Holly Springs, GA 30115
Fax (770) 881-7910
Mailing address
145 Highlands Dr
Woodstock, GA 30188-6052
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Durable Medical Equipment & Medical Supplies Primary | 332B00000X | None listed |
| Community/Retail Pharmacy | 3336C0003X | PHRE009088 (GA) |
Durable Medical Equipment & Medical Supplies: A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time.
About NPI 1578648705
Olde Time Pharmacy Inc's National Provider Identifier is 1578648705, issued on Oct 26, 2006. The primary taxonomy on file is Durable Medical Equipment & Medical Supplies (332B00000X), and the practice location is in Holly Springs, GA. The record was last updated on Sep 11, 2025.