Organization
HOLIDAY CVS LLC
Active
Other names
CVS PHARMACY #03298
Organization subpart
No
Provider details
NPI number
Authorized official
SUSAN COLBERT (DIRECTOR PAYER RELATIONS)
(401) 770-2751
Entity
Organization
Contact information
Practice address
8800 SE BRIDGE RD, HOBE SOUND, FL 33455-5309
(772) 546-4488
(772) 546-0682
Mailing address
1 CVS DR, PO BOX 1075, WOONSOCKET, RI 02895-6146
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
20275
FL
3336C0003X
Community/Retail Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1040067
OTHER ID NUMBER-COMMERCIAL NUMBER
—
05
—
105957200
—
FL
Enumeration date
12/06/2006
Last updated
11/08/2012
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