Organization
HOLIDAY CVS LLC
Active
Other names
CVS PHARMACY #03144
Organization subpart
No
Provider details
NPI number
Authorized official
SUSAN COLBERT (DIRECTOR PAYER RELATIONS)
(401) 770-2751
Entity
Organization
Contact information
Practice address
901 S MAIN ST, WILDWOOD, FL 34785-5316
(352) 748-1414
(352) 748-7131
Mailing address
1 CVS DR, PO BOX 1075, WOONSOCKET, RI 02895-6146
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
20712
FL
3336C0003X
Community/Retail Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1023744
OTHER ID NUMBER-COMMERCIAL NUMBER
—
05
—
105803700
—
FL
Enumeration date
09/12/2006
Last updated
11/07/2012
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