Organization
HOLIDAY CVS, L.L.C.
Active
Other names
CVS Pharmacy # 05400
Organization subpart
No
Provider details
NPI number
Authorized official
SUE COLBERT (DIRECTOR, PAYER RELATIONS)
(401) 765-1500
Entity
Organization
Contact information
Practice address
6790 CENTRAL FLORIDA PKWY, ORLANDO, FL 32821-6025
(407) 238-4726
Mailing address
1 CVS DR, BOX 1075- PHARMACY ENROLLMENTS, 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
—
001842000
—
FL
01
—
001842001
DME
FL
01
—
1051452
NCPDP
—
Enumeration date
12/11/2009
Last updated
10/25/2010
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us