Organization
HOLIDAY CVS LLC
Active
Other names
CVS PHARMACY 03658
Organization subpart
No
Provider details
NPI number
Authorized official
SUSAN COLBERT (DIRECTOR PAYER RELATIONS)
(401) 770-2751
Entity
Organization
Contact information
Practice address
11900 MCCORMICK RD, JACKSONVILLE, FL 32225-1839
(904) 642-7460
(904) 998-9732
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
20456
FL
3336C0003X
Community/Retail Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1051375
OTHER ID NUMBER-COMMERCIAL NUMBER
—
05
—
105602600
—
FL
Enumeration date
09/12/2006
Last updated
02/03/2020
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