Cvs Pharmacy #04069
LBN: Holiday Cvs Llc
Cvs Pharmacy #04069 is an health care organization with primary practice located at 4725 N Ocean Dr , Lauderdale By The Sea FL 33308-2914. 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 (954) 942-8648, or through Colbert, Susan via phone (401) 765-1500.
Contact Information
Primary practice address
4725 N Ocean Dr
Lauderdale By The Sea FL 33308-2914
Phone: (954) 942-8648
Fax: (954) 942-8318
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Suppliers / Durable Medical Equipment & Medical Supplies | 332B00000X | ||
Suppliers / Pharmacy | 333600000X | 20189 | Florida |
Suppliers / Community/Retail Pharmacy | 3336C0003X |
Profile Details
NPI number | 1093819955 |
---|---|
LBN Legal business name | Holiday Cvs Llc |
DBA Doing business as | Cvs Pharmacy #04069 |
Authorized official | Colbert, Susan |
Entity | Organization |
Organization subpart 1 | No |
Enumeration date | Sep 12th, 2006 |
Last updated | Aug 16th, 2021 - about 4 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 | 1093819955 | NPPES |
Other | P00754232 | MEDICARE RR | |
Other | 1067633 | MEDICARE RR | |
MEDICAID | 105720100 | MEDICARE RR |
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