Organization
HOLIDAY CVS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SUSAN F COLBERT (SR. DIRECTOR, PAYER RELATIONS)
(401) 765-1500
Entity
Organization
Contact information
Practice address
12701 SW 42ND ST, MIAMI, FL 33175-3423
(305) 553-2767
Mailing address
PO BOX 1075, WOONSOCKET, RI 02895-0803
(401) 765-1500
(401) 770-7108
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
Primary
—
—
3336C0003X
Community/Retail Pharmacy
—
—
Other
Enumeration date
04/16/2018
Last updated
11/27/2023
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