Organization
HOLIDAY CVS, L.L.C.
Active
Other names
CVS Pharmacy #11513
Organization subpart
No
Provider details
NPI number
Authorized official
SUSAN F COLBERT (SR DIRECTOR PAYER RELATIONS)
(800) 746-7287
Entity
Organization
Contact information
Practice address
5027 C 466A, WILDWOOD, FL 34785-3616
(352) 461-5001
Mailing address
1 CVS DR, BOX 1075, WOONSOCKET, RI 02895-6146
(401) 765-1500
(401) 735-1080
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
Primary
—
—
3336C0003X
Community/Retail Pharmacy
—
—
Other
Enumeration date
02/07/2024
Last updated
05/07/2024
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