Organization
HOLIDAY CVS LLC
Active
Other names
CVS PHARMACY # 00850
Organization subpart
No
Provider details
NPI number
Authorized official
CRISTIANA MAURICIO (MGR PHCY ENROLLMENTS)
(401) 770-2937
Entity
Organization
Contact information
Practice address
5999 NORMANDY BLVD, JACKSONVILLE, FL 32205-6265
(904) 786-2148
(904) 786-1410
Mailing address
1 CVS DR, PO BOX 1075, WOONSOCKET, RI 02895-6146
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
20419
FL
3336C0003X
Community/Retail Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1005772
OTHER ID NUMBER-COMMERCIAL NUMBER
—
05
—
105880100
—
FL
Enumeration date
09/12/2006
Last updated
11/17/2009
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