Cvs Pharmacy #04989
LBN: Holiday Cvs, L.L.C.
Cvs Pharmacy #04989 is an health care organization with primary practice located at 4500 Donald Ross Road , Palm Beach Gardens FL 33418. 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 (561) 624-3799, or through Colbert, Susan F via phone (401) 770-5721.
Contact Information
Primary practice address
4500 Donald Ross Road
Palm Beach Gardens FL 33418
Phone: (561) 624-3799
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Durable Medical Equipment & Medical Supplies | 332B00000X | ||
| Suppliers / Pharmacy | 333600000X | PH22184 | Florida |
| Suppliers / Community/Retail Pharmacy | 3336C0003X |
Profile Details
| NPI number | 1225049448 |
|---|---|
| LBN Legal business name | Holiday Cvs, L.L.C. |
| DBA Doing business as | Cvs Pharmacy #04989 |
| Authorized official | Colbert, Susan F |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Aug 11th, 2006 |
| Last updated | Sep 27th, 2011 - about 13 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 | 1225049448 | NPPES |
| Other | 1019416 | NCPDP | |
| MEDICAID | 031673300 | NCPDP |
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