Organization
HOLIDAY CVS LLC
Active
Other names
CVS PHARMACY #01274
Organization subpart
No
Provider details
NPI number
Authorized official
SUSAN COLBERT (DIRECTOR)
(401) 765-1500
Entity
Organization
Contact information
Practice address
2790 N ROOSEVELT BLVD, KEY WEST, FL 33040-3904
(305) 294-6693
(305) 296-6714
Mailing address
1 CVS DR, PO BOX 1075, WOONSOCKET, RI 02895-6146
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
20362
FL
3336C0003X
Community/Retail Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1006027
OTHER ID NUMBER-COMMERCIAL NUMBER
—
05
—
106038400
—
FL
Enumeration date
09/12/2006
Last updated
11/05/2012
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