Cvs Pharmacy 05204

LBN: Holiday Cvs Llc
Cvs Pharmacy 05204 is an health care organization with primary practice located at 955 W 23Rd St , Panama City FL 32405-3928. 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 (850) 769-3366, or through Colbert, Susan F via phone (401) 770-2937.

Contact Information

Primary practice address
955 W 23Rd St Panama City FL 32405-3928
Phone: (850) 769-3366
Fax: (850) 769-8015
Website:
Map and Directions
Authorized official contact:
Name: Colbert, Susan F
Phone: (401) 770-2937

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X 20111 Florida
Suppliers / Community/Retail Pharmacy 3336C0003X

Profile Details

NPI number 1275637142
LBN Legal business name Holiday Cvs Llc
DBA Doing business as Cvs Pharmacy 05204
Authorized official Colbert, Susan F
Entity Organization
Organization subpart 1 No
Enumeration date Sep 12th, 2006
Last updated Dec 14th, 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 1275637142 NPPES
Florida MEDICAID 021440000
Florida Other 1085946

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