Organization
HOLIDAY CVS LLC
Active
Other names
CVS PHARMACY # 01256
Organization subpart
No
Provider details
NPI number
Authorized official
SUSAN F COLBERT (DIRECTOR PHCY ENROLLMENTS)
(401) 770-2751
Entity
Organization
Contact information
Practice address
1300 APALACHEE PKWY, TALLAHASSEE, FL 32301-3002
(850) 877-5168
(850) 877-0720
Mailing address
1 CVS DR, PO BOX 1075, WOONSOCKET, RI 02895-6146
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
20298
FL
3336C0003X
Community/Retail Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1006003
OTHER ID NUMBER-COMMERCIAL NUMBER
—
05
—
106028700
—
FL
Enumeration date
09/12/2006
Last updated
11/05/2012
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