Organization
HOLIDAY CVS LLC
Active
Other names
CVS PHARMACY 03601
Organization subpart
No
Provider details
NPI number
Authorized official
SUSAN COLBERT (DIRECTOR, PAYER RELATIONS)
(401) 770-2751
Entity
Organization
Contact information
Practice address
11878 FOREST HILL BLVD, WELLINGTON, FL 33414-6209
(561) 793-2126
(561) 753-0514
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
20249
FL
3336C0003X
Community/Retail Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1043772
OTHER ID NUMBER-COMMERCIAL NUMBER
—
05
—
105653100
—
FL
Enumeration date
09/12/2006
Last updated
04/07/2021
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