Organization
HOLIDAY CVS LLC
Active
Other names
CVS PHARMACY 00406
Organization subpart
No
Provider details
NPI number
Authorized official
SUSAN COLBERT (DIRECTOR)
(401) 765-1500
Entity
Organization
Contact information
Practice address
2400 TAMIAMI TRL, PUNTA GORDA, FL 33950-5928
(941) 639-1144
(941) 639-7408
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
—
—
333600000X
Pharmacy
Primary
20672
FL
3336C0003X
Community/Retail Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1004528
OTHER ID NUMBER-COMMERCIAL NUMBER
—
05
—
105629800
—
FL
01
—
P00813911
MEDICARE RR
—
Enumeration date
09/12/2006
Last updated
01/10/2023
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