Organization
HOLIDAY CVS LLC
Active
Other names
CVS PHARMACY #03269
Organization subpart
No
Provider details
NPI number
Authorized official
SUSAN COLBERT (DIRECTOR, PAYER RELATIONS)
(401) 770-2751
Entity
Organization
Contact information
Practice address
4465 NORTHLAKE BLVD, PALM BEACH GARDENS, FL 33410-6255
(561) 622-6803
(561) 622-3893
Mailing address
1 CVS DR, PO BOX 1075, WOONSOCKET, RI 02895-6146
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
Primary
20195
FL
3336C0003X
Community/Retail Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1037060
OTHER ID NUMBER-COMMERCIAL NUMBER
—
05
—
106020100
—
FL
Enumeration date
09/12/2006
Last updated
04/03/2019
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