Holiday Cvs LLC

NPI #1710081625 in Summerfield, Florida

Provider Information

NPI Number
1710081625
Entity Type
Organization
Organization Name
Holiday Cvs LLC
Primary Specialty
Pharmacy
Enumeration Date
Sep 12, 2006
Last Updated
Nov 27, 2012

Practice Location

Address
17817 SE 109TH AVE
State
Florida
ZIP Code
34491-8999
Phone
(352) 347-6616

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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