Cvs Pharmacy 07894

LBN: Holiday Cvs Llc
Cvs Pharmacy 07894 is an health care organization with primary practice located at 8495 S Federal Hwy , Vero Beach FL 32967. 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) 589-2822, or through Colbert, Susan via phone (401) 770-2751.

Contact Information

Primary practice address
8495 S Federal Hwy Vero Beach FL 32967
Fax:
Website:
Authorized official contact:
Name: Colbert, Susan

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X PH21238 Florida
Suppliers / Community/Retail Pharmacy 3336C0003X

Profile Details

NPI number 1225133051
LBN Legal business name Holiday Cvs Llc
DBA Doing business as Cvs Pharmacy 07894
Authorized official Colbert, Susan
Entity Organization
Organization subpart 1 No
Enumeration date Sep 14th, 2006
Last updated Dec 4th, 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 1225133051 NPPES
Other 1010785 OTHER ID NUMBER-COMMERCIAL NUMBER
MEDICAID 028486600 OTHER ID NUMBER-COMMERCIAL NUMBER

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