Organization
HOLIDAY CVS LLC
Active
Other names
CVS PHARMACY #04027
Organization subpart
No
Provider details
NPI number
Authorized official
SUSAN F COLBERT (EXEC DIR, RX SERVICES)
(401) 770-2751
Entity
Organization
Contact information
Practice address
8361 N CENTURY BLVD, CENTURY, FL 32535-1629
(850) 256-4183
Mailing address
1 CVS DR, PO BOX 1075, WOONSOCKET, RI 02895-6146
(401) 765-1500
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
Primary
PH14344
FL
3336C0003X
Community/Retail Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1053660
OTHER ID NUMBER-COMMERCIAL NUMBER
—
05
—
105463500
—
FL
05
—
150020
—
AL
Enumeration date
09/07/2006
Last updated
01/27/2023
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