Organization
HOLIDAY CVS L.L.C.
Active
Other names
CVS PHARMACY #08397
Organization subpart
No
Provider details
NPI number
Authorized official
SUSAN F COLBERT (DIRECTOR,PAYER RELATIONS)
(401) 770-2751
Entity
Organization
Contact information
Practice address
7380 DAVIS BLVD, NAPLES, FL 34104-5374
(239) 417-1778
Mailing address
1 CVS DR, BOX 1075 - PHARMACY ENROLLMENTS, WOONSOCKET, RI 02895-6146
(401) 765-1500
(401) 770-7108
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
Primary
PH24863
FL
3336C0003X
Community/Retail Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
002572800
—
FL
01
—
5700439
NCPDP
—
Enumeration date
06/22/2010
Last updated
11/22/2010
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