Organization
HOLIDAY CVS LLC
Active
Other names
CVS PHARMACY 03115
Organization subpart
No
Provider details
NPI number
Authorized official
SUSAN COLBERT (DIRECTOR PHCY ENROLLMENTS)
(401) 770-2751
Entity
Organization
Contact information
Practice address
615 E 3RD AVE, NEW SMYRNA BEACH, FL 32169-3133
(386) 427-5244
(386) 423-5782
Mailing address
1 CVS DR, PO BOX 1075, WOONSOCKET, RI 02895-6146
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
20255
FL
3336C0003X
Community/Retail Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1026182
OTHER ID NUMBER-COMMERCIAL NUMBER
—
05
—
105788000
—
FL
Enumeration date
09/12/2006
Last updated
11/06/2012
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