Holiday Cvs LLC

NPI #1962672105 in Wauchula, Florida

Provider Information

NPI Number: 1962672105
Entity Type: Organization
Organization Name: Holiday Cvs LLC
Primary Specialty: Pharmacy
Enumeration Date: Mar 4, 2008
Last Updated: Nov 6, 2012

Practice Location

Address: 301 S. 6TH AVE
City: Wauchula
State: Florida
ZIP Code: 33873
Phone: (863) 767-1195

Authorized Official

Name: SUSAN F COLBERT
Title: DIRECTOR, PAYER RELATIONS
Phone: (401) 765-1500

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Durable Medical Equipment & Medical Supplies	332B00000X
Pharmacy - Community/Retail Pharmacy — Community/Retail Pharmacy	3336C0003X
Pharmacy	333600000X	Primary

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