Cvs Pharmacy #05157

LBN: Holiday Cvs Llc
Cvs Pharmacy #05157 is an health care organization with primary practice located at 1300 Sw St Lucie Blvd , Port Saint Lucie FL 34986. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy. Suppliers / Pharmacy is the primary health care specialty. Holiday Cvs Llc can be contacted via phone (772) 878-7078, or through Colbert, Susan via phone (401) 765-1500.

Contact Information

Primary practice address
1300 Sw St Lucie Blvd Port Saint Lucie FL 34986
Phone: (772) 878-7078
Fax: (772) 343-0608
Website:
Map and Directions
Authorized official contact:
Name: Colbert, Susan
Phone: (401) 765-1500

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X 20592 Florida
Suppliers / Community/Retail Pharmacy 3336C0003X

Profile Details

NPI number 1124125612
LBN Legal business name Holiday Cvs Llc
DBA Doing business as Cvs Pharmacy #05157
Authorized official Colbert, Susan
Entity Organization
Organization subpart 1 No
Enumeration date Sep 19th, 2006
Last updated Jan 17th, 2023 - about last year

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 1124125612 NPPES
Other 1080439 OTHER ID NUMBER-COMMERCIAL NUMBER
MEDICAID 106175500 OTHER ID NUMBER-COMMERCIAL NUMBER

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