Organization
HOLIDAY CVS LLC
Active
Other names
CVS PHARMACY #03746
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
11115 SPRING HILL DR, SPRING HILL, FL 34609-4649
(352) 686-1336
(352) 666-6925
Mailing address
1 CVS DR, PO BOX 1075, WOONSOCKET, RI 02895-6146
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
20352
FL
3336C0003X
Community/Retail Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1054989
OTHER ID NUMBER-COMMERCIAL NUMBER
—
05
—
106128300
—
FL
01
—
P00754232
MEDICARE RR
—
Enumeration date
09/12/2006
Last updated
01/12/2023
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