Organization
HOLIDAY CVS LLC
Active
Other names
CVS PHARMACY 03550
Organization subpart
No
Provider details
NPI number
Authorized official
SUSAN F COLBERT (DIRECTOR,PHCY ENROLLMENTS)
(401) 765-2751
Entity
Organization
Contact information
Practice address
11801 PANAMA CITY BEACH PKWY., PANAMA CITY BEACH, FL 32407
(850) 230-6023
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
—
—
3336C0003X
Community/Retail Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
032487600
—
FL
Enumeration date
01/08/2008
Last updated
11/15/2012
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