Holiday Cvs LLC

NPI #1134223043 in Edgewater, Florida

Provider Information

NPI Number
1134223043
Entity Type
Organization
Organization Name
Holiday Cvs LLC
Primary Specialty
Pharmacy
Enumeration Date
Sep 12, 2006
Last Updated
Nov 15, 2012

Practice Location

Address
1806 S RIDGEWOOD AVE
State
Florida
ZIP Code
32132-3600
Phone
(386) 423-4674

Authorized Official

Name
SUSAN COLBERT
Title
DIRECTOR, PAYER RELATIONS
Phone
(401) 770-2751

Specialties & Taxonomy Codes

Specialty
Pharmacy - Community/Retail PharmacyCommunity/Retail Pharmacy
Durable Medical Equipment & Medical Supplies
Pharmacy

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