Organization
HOLIDAY CVS LLC
Active
Other names
CVS PHARMACY 03121
Organization subpart
No
Provider details
NPI number
Authorized official
CRISTIANA MAURICIO (MGR PHCY ENROLLMENTS)
(401) 770-2937
Entity
Organization
Contact information
Practice address
10660 SW 40TH ST, MIAMI, FL 33165-3613
(305) 221-1356
(305) 221-5950
Mailing address
1 CVS DR, PO BOX 1075, WOONSOCKET, RI 02895-6146
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
20539
FL
3336C0003X
Community/Retail Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1034127
OTHER ID NUMBER-COMMERCIAL NUMBER
—
05
—
105791000
—
FL
Enumeration date
09/12/2006
Last updated
01/03/2018
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