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HOLLY'S HEALTH MART #23
NPI 1528064367
Pharmacy in Prescott, AR

Active since June 27, 2005
1430 W 1ST ST N, PRESCOTT, AR 71857(870) 887-2717(870) 887-2113 Get Directions Write a Review

NPPES record last updated: November 12, 2009. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Holly's Health Mart #23 NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

HOLLY'S HEALTH MART #23 (NPI 1528064367) is a healthcare organization registered as a pharmacy in Prescott, Arkansas and active in the NPI registry since June 2005. The organization lists Gary M. Boone, Director Of Hme Operations, as its authorized official.

NPPES Registry Identity

NPI1528064367
Entity TypeOrganization
Primary Taxonomy333600000X
Legal Business NameSUPER D DRUG ACQUISITION CO.
Location Address1430 W 1ST ST NPrescott, AR 71857-3339
Mailing Address1430 W 1st St NPrescott, AR 71857-3339 · (870) 887-2717 · Fax (870) 887-2113
Phone(870) 887-2717
Fax(870) 887-2113
Organization SubpartNo
Authorized OfficialGary M. BooneDirector Of Hme Operations · (479) 394-6363
Enumeration DateJune 27, 2005
Last NPPES UpdateNovember 12, 2009
✔ NPI 1528064367 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPharmacySuppliers
Taxonomy Code333600000X
License✔ Licensed in AR · 65694
Definition
A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located.
1430 W 1ST ST N, Prescott, AR 71857
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Other Names 1

Doing Business AsHolly's Health Mart #23

Other Identifiers 2

Other0417926AR · Pharmacy
Medicaid165425407AR

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

HOLIDAY ROSS
Pharmacist
1430 W 1ST ST N
PRESCOTT, AR 71857
Nevada County (870) 887-2717
SCPG ARKANSAS LLC
Pharmacy (Community/Retail Pharmacy)
1430 W 1ST ST N
PRESCOTT, AR 71857
Nevada County (870) 887-6664
JASEN CREEK PD
Pharmacist
1430 W 1ST ST N
PRESCOTT, AR 71857
Nevada County (870) 887-6664
FRED WILLIAM HARRIS PD
Pharmacist
1430 W 1ST ST N
PRESCOTT, AR 71857
Nevada County (870) 602-0500
DR. GARY LEE LEWIS
Pharmacist
1430 W 1ST ST N
PRESCOTT, AR 71857
Nevada County (870) 887-2717

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Super D Drug Acquisition Co.'s NPI number?

The NPI number for Super D Drug Acquisition Co. is 1528064367. It was assigned to this organization in the NPPES registry on June 27, 2005. The provider is doing business as Holly's Health Mart #23.

Where is Super D Drug Acquisition Co. located?

Super D Drug Acquisition Co. is located at 1430 W 1st St N, Prescott, AR 71857. The listed phone number is (870) 887-2717.

What is Super D Drug Acquisition Co.'s specialty?

The primary specialty registered for this NPI is Pharmacy with taxonomy code 333600000X.

When was this NPI record last updated?

The NPPES record for Super D Drug Acquisition Co. was last updated on November 12, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.