Organization
HOLIDAY CVS LLC
Active
Other names
CVS PHARMACY 03662
Organization subpart
No
Provider details
NPI number
Authorized official
SUSAN F COLBERT (DIRECTOR PHCY ENROLLMENTS)
(401) 770-2751
Entity
Organization
Contact information
Practice address
5357 EHRLICH RD, TAMPA, FL 33625-5505
(813) 968-4003
(813) 960-3410
Mailing address
1 CVS DR, PO BOX 1075, WOONSOCKET, RI 02895-6146
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
20308
FL
3336C0003X
Community/Retail Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1050842
OTHER ID NUMBER-COMMERCIAL NUMBER
—
05
—
105606900
—
FL
Enumeration date
09/12/2006
Last updated
03/10/2010
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