Olde Time Pharmacy At Sixes Llc
Community/Retail Pharmacy
684 Sixes Rd Ste 105, Holly Springs
Georgia, 30115-8720
770-783-0483 Olde Time Pharmacy At Sixes Llc is not a DME supplier for medicare equipments and products.
Olde Time Pharmacy At Sixes Llc is a Community/Retail Pharmacy in Holly Springs, Georgia. It is located at 684 Sixes Rd Ste 105, Holly Springs and it's customer support contact number is 770-783-0483. The authorized person of Olde Time Pharmacy At Sixes Llc is Shad Sutherland who is Owner of the pharmacy and his contact number is 770-783-0483. Active license number of Olde Time Pharmacy At Sixes Llc is PHRE009711 for Community/Retail Pharmacy in Georgia.
Olde Time Pharmacy At Sixes Llc is a pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes.
Pharmacy Details:
Olde Time Pharmacy At Sixes Llc type, location, contact phone number and fax are as below. Patients can directly walkin to the pharmacy or can call on the below given customer support phone number for enquiries.
| Name: | Olde Time Pharmacy At Sixes Llc |
| Type: | Community/Retail Pharmacy |
| Location: | 684 Sixes Rd Ste 105, Holly Springs, Georgia, 30115-8720 |
| Phone: | 770-783-0483 |
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints of this pharmacy is as below. Person's position and contact details are also mentioned below.
| Name: | Shad Sutherland |
| Position: | Owner |
| Contact Number: | 770-783-0483 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details of given pharmacy are as mentioned below.
| NPI Number: | 1912208539 |
| NPI Enumeration Date: | 12 Nov, 2010 |
| NPI Last Update On: | 01 Dec, 2010 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Olde Time Pharmacy At Sixes Llc are as mentioned below.
| Specialization | License Number | State | Status | |
| Community/Retail Pharmacy | PHRE009711 | Georgia | Primary | |
| Pharmacy | | | Secondary | |
Other Medical Identifiers:
Other legacy medical identifiers of the pharmacy such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 1160643 | Other | | Ncpdp Provider Identification Number |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | 684 Sixes Rd, Suite 105 Holly Springs, Georgia |
| Zip: | 30115-8721 |
| Phone Number: | 770-783-0483 |
Patients can reach Olde Time Pharmacy At Sixes Llc at
684 Sixes Rd Ste 105, Holly Springs, Georgia or can
call on customer care at 770-783-0483.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.