Cvs Pharmacy #01293

LBN: Holiday Cvs Llc
Cvs Pharmacy #01293 is an health care organization with primary practice located at 12804 Us Highway 301 , Dade City FL 33525-6015. 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 (352) 567-5656, or through Ryan, Thomas M via phone (401) 765-1500.

Contact Information

Primary practice address
12804 Us Highway 301 Dade City FL 33525-6015
Phone: (352) 567-5656
Fax: (352) 567-9615
Website:
Map and Directions
Authorized official contact:
Name: Ryan, Thomas M
Phone: (401) 765-1500

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X 20363 Florida
Suppliers / Community/Retail Pharmacy 3336C0003X

Profile Details

NPI number 1235233214
LBN Legal business name Holiday Cvs Llc
DBA Doing business as Cvs Pharmacy #01293
Authorized official Ryan, Thomas M
Entity Organization
Organization subpart 1 No
Enumeration date Sep 12th, 2006
Last updated Aug 23rd, 2012 - about 13 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 1235233214 NPPES
Other 1004819 OTHER ID NUMBER-COMMERCIAL NUMBER
MEDICAID 106036800 OTHER ID NUMBER-COMMERCIAL NUMBER

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