Organization
HOLIDAY CVS LLC
Active
Other names
Navarro Discount Pharmacy #10725
Organization subpart
No
Provider details
NPI number
Authorized official
SUSAN F COLBERT (SR DIRECTOR,PAYER RELATIONS)
(401) 770-2751
Entity
Organization
Contact information
Practice address
14055 SW 88TH ST, MIAMI, FL 33186-4002
(305) 380-1343
Mailing address
1 CVS DR, WOONSOCKET, RI 02895-6146
(401) 765-1500
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
Primary
—
—
3336C0003X
Community/Retail Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
012832900
—
FL
05
—
012832901
—
FL
01
—
5712270
NCPDP
—
Enumeration date
10/23/2012
Last updated
02/01/2021
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