Cvs Pharmacy 00652

LBN: Holiday Cvs Llc
Cvs Pharmacy 00652 is an health care organization with primary practice located at 57 Tuscan Way , Saint Augustine FL 32092. The organization recently has 3 registered licenses in different health care specialties including Suppliers / Durable Medical Equipment & Medical Supplies, Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy. Suppliers / Pharmacy is the primary health care specialty. Holiday Cvs Llc can be contacted via phone (904) 940-3817, or through Colbert, Susan F via phone (401) 770-2751.

Contact Information

Primary practice address
57 Tuscan Way Saint Augustine FL 32092
Phone: (904) 940-3817
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Colbert, Susan F
Phone: (401) 770-2751

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X

Profile Details

NPI number 1295912079
LBN Legal business name Holiday Cvs Llc
DBA Doing business as Cvs Pharmacy 00652
Authorized official Colbert, Susan F
Entity Organization
Organization subpart 1 No
Enumeration date Jan 24th, 2008
Last updated Sep 23rd, 2011 - 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1295912079 NPPES
Florida Other 1032349 NCPDP
Florida Other 032595301 NCPDP
Florida MEDICAID 032595300 NCPDP

Popular Providers