Organization
HOLIDAY CVS LLC
Active
Other names
CVS PHARMACY #04726
Organization subpart
No
Provider details
NPI number
Authorized official
SUSAN F COLBERT (EXEC DIR, RX SVCS)
(401) 770-2751
Entity
Organization
Contact information
Practice address
24200 VETERANS BLVD, PORT CHARLOTTE, FL 33954-2803
(941) 255-3030
(941) 764-0337
Mailing address
1 CVS DR, PO BOX 1075, WOONSOCKET, RI 02895-6146
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
20693
FL
3336C0003X
Community/Retail Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
105682400
—
FL
01
—
1075060
OTHER ID NUMBER-COMMERCIAL NUMBER
—
Enumeration date
09/12/2006
Last updated
01/27/2023
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