Organization
HOLIDAY CVS LLC
Active
Other names
CVS PHARMACY # 03107
Organization subpart
No
Provider details
NPI number
Authorized official
SUSAN COLBERT (DIRECTOR, PAYER RELATIONS)
(401) 770-2751
Entity
Organization
Contact information
Practice address
4 S BREVARD AVE, ARCADIA, FL 34266-4400
(863) 494-5711
(863) 494-2505
Mailing address
1 CVS DR, PO BOX 1075, WOONSOCKET, RI 02895-6146
(401) 765-1500
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
FL
333600000X
Pharmacy
Primary
20545
FL
3336C0003X
Community/Retail Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1025231
OTHER ID NUMBER-COMMERCIAL NUMBER
—
05
—
105782100
—
FL
Enumeration date
09/12/2006
Last updated
11/06/2012
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us