Cvs Pharmacy # 01811

LBN: Holiday Cvs Llc
Cvs Pharmacy # 01811 is an health care organization with primary practice located at 1504 3Rd St S , Jacksonville Beach FL 32250-6312. 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 (904) 246-7596, or through Colbert, Susan via phone (401) 765-1500.

Contact Information

Primary practice address
1504 3Rd St S Jacksonville Beach FL 32250-6312
Phone: (904) 246-7596
Fax: (904) 241-2297
Website:
Map and Directions
Authorized official contact:
Name: Colbert, Susan
Phone: (401) 765-1500

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X 20404 Florida
Suppliers / Community/Retail Pharmacy 3336C0003X

Profile Details

NPI number 1366546244
LBN Legal business name Holiday Cvs Llc
DBA Doing business as Cvs Pharmacy # 01811
Authorized official Colbert, Susan
Entity Organization
Organization subpart 1 No
Enumeration date Sep 12th, 2006
Last updated Sep 24th, 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 1366546244 NPPES
Florida MEDICAID 105906800
Florida Other P00754232
Florida Other 1006178

Popular Providers