Organization
HOLIDAY CVS LLC
Active
Other names
CVS PHARMACY #03271
Organization subpart
No
Provider details
NPI number
Authorized official
SUSAN COLBERT (DIRECTOR, PAYER RELATIONS)
(401) 770-2751
Entity
Organization
Contact information
Practice address
1001 DUNLAWTON AVE, PORT ORANGE, FL 32127-4708
(386) 788-1500
(386) 760-8744
Mailing address
1 CVS DR, BOX 1075, WOONSOCKET, RI 02895-6146
(401) 765-1500
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
Primary
20371
FL
3336C0003X
Community/Retail Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1038238
OTHER ID NUMBER-COMMERCIAL NUMBER
—
05
—
106021000
—
FL
Enumeration date
09/12/2006
Last updated
11/14/2012
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us