Cvs Pharmacy 04219

LBN: Holiday Cvs Llc
Cvs Pharmacy 04219 is an health care organization with primary practice located at 1101 Malabar Rd Ne , Palm Bay FL 32907-3261. 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 (321) 984-5477, or through Colbert, Susan F via phone (401) 770-2751.

Contact Information

Primary practice address
1101 Malabar Rd Ne Palm Bay FL 32907-3261
Phone: (321) 984-5477
Fax: (321) 984-0750
Website:
Map and Directions
Authorized official contact:
Name: Colbert, Susan F
Phone: (401) 770-2751

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X 20428 Florida
Suppliers / Community/Retail Pharmacy 3336C0003X

Profile Details

NPI number 1366546228
LBN Legal business name Holiday Cvs Llc
DBA Doing business as Cvs Pharmacy 04219
Authorized official Colbert, Susan F
Entity Organization
Organization subpart 1 No
Enumeration date Sep 12th, 2006
Last updated Jan 17th, 2023 - about 2 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 1366546228 NPPES
Florida MEDICAID 105535600
Florida Other 1069156

Popular Providers