Organization
HOLIDAY CVS, L.L.C.
Active
Other names
Cvs Pharmacy #11612
Organization subpart
No
Provider details
NPI number
Authorized official
SUSAN F COLBERT (SR DIRECTOR PAYER RELATIONS)
(402) 765-1500
Entity
Organization
Contact information
Practice address
100 KINDRED LANE, YULEE, FL 32097-5448
(401) 765-1500
Mailing address
1 CVS DR, WOONSOCKET, RI 02895-6146
(401) 765-1500
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
Primary
—
—
3336C0003X
Community/Retail Pharmacy
—
—
Other
Enumeration date
03/18/2026
Last updated
03/18/2026
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