Cvs Pharmacy 05167

LBN: Holiday Cvs Llc
Cvs Pharmacy 05167 is an health care organization with primary practice located at 12 Decatur St , Chattahoochee FL 32324-1012. 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 Llc can be contacted via phone (850) 663-2268, or through Colbert, Susan F via phone (401) 770-2751.

Contact Information

Primary practice address
12 Decatur St Chattahoochee FL 32324-1012
Phone: (850) 663-2268
Fax: (850) 663-3923
Website:
Map and Directions
Authorized official contact:
Name: Colbert, Susan F
Phone: (401) 770-2751

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X Florida
Suppliers / Pharmacy 333600000X 20644 Florida
Suppliers / Community/Retail Pharmacy 3336C0003X

Profile Details

NPI number 1023112984
LBN Legal business name Holiday Cvs Llc
DBA Doing business as Cvs Pharmacy 05167
Authorized official Colbert, Susan F
Entity Organization
Organization subpart 1 No
Enumeration date Sep 12th, 2006
Last updated Nov 16th, 2012 - about 12 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1023112984 NPPES
Other 1079183 OTHER ID NUMBER-COMMERCIAL NUMBER
MEDICAID 105938600 OTHER ID NUMBER-COMMERCIAL NUMBER

Popular Providers