Organization
HOLIDAY CVS LLC
Active
Other names
CVS PHARMACY 03611
Organization subpart
No
Provider details
NPI number
Authorized official
SUSAN COLBERT (DIRECTOR PAYER RELATIONS)
(401) 770-2751
Entity
Organization
Contact information
Practice address
7001 ESTERO BLVD, FORT MYERS BEACH, FL 33931-4639
(239) 463-5746
(239) 765-6319
Mailing address
1 CVS DR, PO BOX 1075, WOONSOCKET, RI 02895-6146
(401) 765-1500
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
20431
FL
3336C0003X
Community/Retail Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1043708
OTHER ID NUMBER-COMMERCIAL NUMBER
—
05
—
105663800
—
FL
Enumeration date
09/12/2006
Last updated
09/07/2012
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