Cvs Pharmacy #17353

LBN: Holiday Cvs Llc
Cvs Pharmacy #17353 is an health care organization with primary practice located at 4727 Highway 90 , Pace FL 32571-1403. 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) 995-7821, or through Colbert, Susan via phone (401) 770-2751.

Contact Information

Primary practice address
4727 Highway 90 Pace FL 32571-1403
Phone: (850) 995-7821
Fax: (850) 995-7831
Website:
Map and Directions
Authorized official contact:
Name: Colbert, Susan
Phone: (401) 770-2751

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X PH 29676 Florida

Profile Details

NPI number 1114135639
LBN Legal business name Holiday Cvs Llc
DBA Doing business as Cvs Pharmacy #17353
Authorized official Colbert, Susan
Entity Organization
Organization subpart 1 No
Enumeration date May 18th, 2007
Last updated Sep 22nd, 2016 - about 8 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 1114135639 NPPES
Other 2009185 PK

Popular Providers