Organization
HOLIDAY CVS LLC
Active
Other names
CVS PHARMACY #01293
Organization subpart
No
Provider details
NPI number
Authorized official
MR. THOMAS M RYAN (PRESIDENT AND CEO)
(401) 765-1500
Entity
Organization
Contact information
Practice address
12804 US HIGHWAY 301, DADE CITY, FL 33525-6015
(352) 567-5656
(352) 567-9615
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
20363
FL
3336C0003X
Community/Retail Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1004819
OTHER ID NUMBER-COMMERCIAL NUMBER
—
05
—
106036800
—
FL
Enumeration date
09/12/2006
Last updated
08/23/2012
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