Organization
HOLIDAY CVS LLC
Active
Other names
CVS PHARMACY 03667
Organization subpart
No
Provider details
NPI number
Authorized official
SUSAN F COLBERT (DIRECTOR PAYER RELATIONS)
(401) 770-2751
Entity
Organization
Contact information
Practice address
1317 OHIO AVE, LYNN HAVEN, FL 32444-2558
(850) 265-5640
(850) 265-6428
Mailing address
1 CVS DR, PO BOX 1075, WOONSOCKET, RI 02895-6146
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
20289
FL
3336C0003X
Community/Retail Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1050943
OTHER ID NUMBER-COMMERCIAL NUMBER
—
05
—
105609300
—
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