Cvs Pharmacy #05250

LBN: Holiday Cvs Llc
Cvs Pharmacy #05250 is an health care organization with primary practice located at 3090 W Oakland Park Blvd , Oakland Park FL 33311-1228. 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) 717-1848, or through Colbert, Susan via phone (401) 765-1500.

Contact Information

Primary practice address
3090 W Oakland Park Blvd Oakland Park FL 33311-1228
Fax: (954) 717-1902
Website:
Authorized official contact:
Name: Colbert, Susan

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X
Suppliers / Pharmacy 333600000X 20662 Florida
Suppliers / Community/Retail Pharmacy 3336C0003X

Profile Details

NPI number 1104920073
LBN Legal business name Holiday Cvs Llc
DBA Doing business as Cvs Pharmacy #05250
Authorized official Colbert, Susan
Entity Organization
Organization subpart 1 No
Enumeration date Sep 12th, 2006
Last updated Jul 11th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1104920073 NPPES
Other 1082053 OTHER ID NUMBER-COMMERCIAL NUMBER
MEDICAID 106254900 OTHER ID NUMBER-COMMERCIAL NUMBER

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