Organization
HOLIDAY CVS LLC
Active
Other names
CVS PHARMACY 03650
Organization subpart
No
Provider details
NPI number
Authorized official
SUSAN F COLBERT (DIRECTOR PHCY ENROLLMENTS)
(401) 770-2751
Entity
Organization
Contact information
Practice address
625 W MARTIN LUTHER KING JR BLVD, TAMPA, FL 33603
(813) 232-2925
Mailing address
1 CVS DR, PO BOX 1075, WOONSOCKET, RI 02895-6146
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
PH18591
FL
3336C0003X
Community/Retail Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1095733
OTHER ID NUMBER-COMMERCIAL NUMBER
—
Enumeration date
09/19/2006
Last updated
03/10/2010
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