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Organization

HOLIDAY CVS LLC

Active
Other names
CVS PHARMACY 03283
Organization subpart
No

Provider details

NPI number
Authorized official
SUSAN F COLBERT (SPVR PHCY ENROLLMENTS)
(401) 770-2751
Entity
Organization

Contact information

Practice address
6888 N 9TH AVE, PENSACOLA, FL 32504-7348
(850) 476-0710
(850) 478-3558
Mailing address
1 CVS DR, PO BOX 1075, WOONSOCKET, RI 02895-6146

Taxonomy

Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
20357
FL
3336C0003X
Community/Retail Pharmacy

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1003146
OTHER ID NUMBER-COMMERCIAL NUMBER
05
105868100
FL
Enumeration date
09/12/2006
Last updated
10/26/2012
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