Organization
HOLIDAY CVS LLC
Active
Other names
Navarro Discount Pharmacy #10702
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
10720 SW 72ND ST, MIAMI, FL 33173-2702
(305) 636-7779
(305) 412-1851
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
—
0128222-00
—
FL
05
—
012822201
—
FL
01
—
1070957
NCPDP
FL
Enumeration date
08/20/2006
Last updated
07/09/2015
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