Cvs Pharmacy 05177

LBN: Holiday Cvs Llc
Cvs Pharmacy 05177 is an health care organization with primary practice located at 1345 N Courtenay Pkwy , Merritt Island FL 32953-4424. 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 (321) 449-8641, or through Colbert, Susan F via phone (401) 770-2751.

Contact Information

Primary practice address
1345 N Courtenay Pkwy Merritt Island FL 32953-4424
Phone: (321) 449-8641
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Colbert, Susan F
Phone: (401) 770-2751

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X PH18867 Florida
Suppliers / Community/Retail Pharmacy 3336C0003X

Profile Details

NPI number 1194829002
LBN Legal business name Holiday Cvs Llc
DBA Doing business as Cvs Pharmacy 05177
Authorized official Colbert, Susan F
Entity Organization
Organization subpart 1 No
Enumeration date Sep 12th, 2006
Last updated Nov 21st, 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 1194829002 NPPES
Other 1097080 OTHER ID NUMBER-COMMERCIAL NUMBER

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