Cvs Pharmacy 04681
LBN: Holiday Cvs , L.L.C.
Cvs Pharmacy 04681 is an health care organization with primary practice located at 3724 N Ocean Blvd , Ft Lauderdale FL 33308-6451. The organization recently has 3 registered licenses in different health care specialties including Suppliers / Durable Medical Equipment & Medical Supplies, Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy. Suppliers / Pharmacy is the primary health care specialty.
Holiday Cvs , L.L.C. can be contacted via phone (954) 396-3129, or through Colbert, Susan F via phone (401) 770-2751.
Contact Information
Primary practice address
3724 N Ocean Blvd
Ft Lauderdale FL 33308-6451
Phone: (954) 396-3129
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Durable Medical Equipment & Medical Supplies | 332B00000X | ||
| Suppliers / Pharmacy | 333600000X | ||
| Suppliers / Community/Retail Pharmacy | 3336C0003X |
Profile Details
| NPI number | 1164605622 |
|---|---|
| LBN Legal business name | Holiday Cvs , L.L.C. |
| DBA Doing business as | Cvs Pharmacy 04681 |
| Authorized official | Colbert, Susan F |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Dec 7th, 2007 |
| Last updated | Apr 3rd, 2019 - about 5 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1164605622 | NPPES |
| Florida | MEDICAID | 032427200 | |
| Florida | Other | 032427201 | |
| Florida | Other | 1030991 |
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