Organization
HOLIDAY CVS LLC
Active
Other names
CVS PHARMACY 03235
Organization subpart
No
Provider details
NPI number
Authorized official
SUSAN F COLBERT (DIRECTOR PHCY ENROLLMENTS)
(401) 770-2751
Entity
Organization
Contact information
Practice address
870 SADLER RD, FERNANDINA BEACH, FL 32034-4752
(904) 261-0836
(904) 321-5675
Mailing address
1 CVS DR, PO BOX 1075, WOONSOCKET, RI 02895-6146
(401) 765-1500
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
FL
333600000X
Pharmacy
Primary
20224
FL
3336C0003X
Community/Retail Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1034545
OTHER ID NUMBER-COMMERCIAL NUMBER
—
05
—
105997100
—
FL
Enumeration date
09/12/2006
Last updated
09/24/2012
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