OLDE TIME PHARMACY AT SIXES, LLC
Ambulatory Health at Sixes Rd, Holly Springs, GA

License number
Georgia PHRE009711
Category
Ambulatory Health
Type
Clinic/Center
Owner
Name: SHAD SUTHERLAND
Title: MANAGER
Phone: (678) 445-4486
Address
Address
684 Sixes Rd SUITE 105, Holly Springs, GA 30115
National Provider ID: 1831476316
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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Olde Time Pharmacy at Sixes, LLC

Holly Springs, GA

Industry:
Ret Drugs/Sundries
Addresses:
684 Sixes Rd, Holly Springs, GA 30115
302 Oakwind Way, Holly Springs, GA 30114
Manager, Managing Member, Owners:
Richard Noell (Mbr),Shad J. Sutherland (Manager, Managing Member, Owner)

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