Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Olde Time Pharmacy Inc

Organization Durable Medical Equipment & Medical Supplies · NPI 1578648705

Olde Time Pharmacy Inc is a Durable Medical Equipment & Medical Supplies in Holly Springs, Georgia. Licensed in Georgia. Registered with an NPI since 2006.

Licensed in
GA
In the registry since
2006
Specialties on file
2
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

402 Argonne Ter Ste 230
Holly Springs, GA 30115
Phone: (770) 783-0483
Fax: (770) 881-7910
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Durable Medical Equipment & Medical Supplies (primary) Taxonomy 332B00000X
Community/Retail Pharmacy Taxonomy 3336C0003X · Licence PHRE009088 (GA)

Record details

NPI number1578648705
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Richard Noell — President · (770) 313-7615
Other names Olde Time Pharmacy
NPI enumeratedOctober 26, 2006
Last updated in NPPESSeptember 11, 2025
Mailing address145 Highlands Dr, Woodstock, GA 30188-6052

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