Organization
HOLIDAY CVS LLC
Active
Other names
CVS PHARMACY 03155
Organization subpart
No
Provider details
NPI number
Authorized official
SUSAN F COLBERT (DIRECTOR PHCY ENROLLMENTS)
(401) 770-2751
Entity
Organization
Contact information
Practice address
2728 US HIGHWAY 27 S, SEBRING, FL 33870-5048
(863) 385-2525
(863) 385-4355
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
—
FL
333600000X
Pharmacy
Primary
20392
FL
3336C0003X
Community/Retail Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1032109
OTHER ID NUMBER-COMMERCIAL NUMBER
—
05
—
105568200
—
FL
Enumeration date
09/12/2006
Last updated
11/07/2012
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