Organization
HOLIDAY CVS LLC
Active
Other names
Navarro Discount Pharmacy #10716
Organization subpart
No
Provider details
NPI number
Authorized official
SUSAN COLBERT (SR DIRECTOR,PAYER RELATIONS)
(401) 770-2751
Entity
Organization
Contact information
Practice address
8100 NW 103RD ST, HIALEAH GARDENS, FL 33016-2204
(305) 424-9144
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
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
012825300
—
FL
01
—
1030155
NCPDP
FL
Enumeration date
11/07/2007
Last updated
04/20/2026
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