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
Fax: (954) 942-8318
Website:
Authorized official contact:
Name: Colbert, Susan

Health care specialties

SpecialtyCodeLicense #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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1093819955 NPPES
Other P00754232 MEDICARE RR
Other 1067633 MEDICARE RR
MEDICAID 105720100 MEDICARE RR

Popular Providers