Holiday Cvs LLC

NPI #1205930112 in Daytona Beach Shores, Florida

Provider Information

NPI Number
1205930112
Entity Type
Organization
Organization Name
Holiday Cvs LLC
Primary Specialty
Pharmacy
Enumeration Date
Sep 12, 2006
Last Updated
Nov 15, 2012

Practice Location

Address
3422 S ATLANTIC AVE
State
Florida
ZIP Code
32118-6349
Phone
(386) 756-0481

Authorized Official

Name
SUSAN F COLBERT
Title
DIRECTOR PHCY ENROLLMENTS
Phone
(401) 770-2751

Specialties & Taxonomy Codes

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

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