Organization
HOLIDAY CVS LLC
Active
Other names
CVS PHARMACY 03663
Organization subpart
No
Provider details
NPI number
Authorized official
SUSAN F COLBERT (EXEC DIR, RX SERVICES)
(401) 770-2751
Entity
Organization
Contact information
Practice address
1141 HIGHWAY 20, INTERLACHEN, FL 32148
(386) 684-4991
(386) 684-3029
Mailing address
1 CVS DR, PO BOX 1075, WOONSOCKET, RI 02895-6146
(401) 765-1500
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
20432
FL
3336C0003X
Community/Retail Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1054713
OTHER ID NUMBER-COMMERCIAL NUMBER
—
05
—
105607700
—
FL
Enumeration date
09/14/2006
Last updated
01/12/2023
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