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Organization

HOLIDAY CVS LLC

Active
Other names
CVS PHARMACY
Organization subpart
No

Provider details

NPI number
Authorized official
CRISTIANA MAURICIO (MGR PHCY ENROLLMENTS)
(401) 770-2937
Entity
Organization

Contact information

Practice address
600 NE 128TH ST, NORTH MIAMI, FL 33161-4829
(305) 893-0560
(305) 893-0673
Mailing address
1 CVS DR, PO BOX 1075, WOONSOCKET, RI 02895-6146

Taxonomy

Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
20734
FL
3336C0003X
Community/Retail Pharmacy

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1005657
OTHER ID NUMBER-COMMERCIAL NUMBER
Enumeration date
09/12/2006
Last updated
09/18/2007
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