Cvs Pharmacy #04254

LBN: Holiday Cvs Llc
Cvs Pharmacy #04254 is an health care organization with primary practice located at 301 Ne Prima Vista Blvd , Port Saint Lucie FL 34983. 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) 340-3640, or through Colbert, Susan via phone (401) 770-2751.

Contact Information

Primary practice address
301 Ne Prima Vista Blvd Port Saint Lucie FL 34983
Phone: (772) 340-3640
Fax: (772) 871-6186
Website:
Map and Directions
Authorized official contact:
Name: Colbert, Susan
Phone: (401) 770-2751

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X 20692 Florida
Suppliers / Community/Retail Pharmacy 3336C0003X

Profile Details

NPI number 1306943899
LBN Legal business name Holiday Cvs Llc
DBA Doing business as Cvs Pharmacy #04254
Authorized official Colbert, Susan
Entity Organization
Organization subpart 1 No
Enumeration date Sep 19th, 2006
Last updated Nov 15th, 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1306943899 NPPES
Florida MEDICAID 105546100
Florida Other 1073826

Popular Providers