Organization
HOLIDAY CVS LLC
Active
Other names
NAVARRO DISCOUNT PHARMACY #10709
Organization subpart
No
Provider details
NPI number
Authorized official
SUSAN COLBERT (DIRECTOR, PAYER RELATIONS)
(401) 770-2751
Entity
Organization
Contact information
Practice address
631 76 STREET, MIAMI BEACH, FL 33141
(305) 636-7779
Mailing address
1 CVS DR, WOONSOCKET, RI 02895-6146
(401) 765-1500
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
Primary
—
—
3336C0003X
Community/Retail Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
012823900
—
FL
01
—
012823901
MEDICAID DME
FL
01
—
1094197
NCPDP
FL
Enumeration date
08/20/2006
Last updated
06/03/2015
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