Cvs Pharmacy #03905

LBN: Holiday Cvs Llc
Cvs Pharmacy #03905 is an health care organization with primary practice located at 3 S Pompano Pkwy , Pompano Beach FL 33069-3001. 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 (954) 971-4940, or through Colbert, Susan via phone (401) 765-1500.

Contact Information

Primary practice address
3 S Pompano Pkwy Pompano Beach FL 33069-3001
Fax: (954) 968-5966
Website:
Authorized official contact:
Name: Colbert, Susan

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X
Suppliers / Pharmacy 333600000X 20233 Florida
Suppliers / Community/Retail Pharmacy 3336C0003X

Profile Details

NPI number 1427152495
LBN Legal business name Holiday Cvs Llc
DBA Doing business as Cvs Pharmacy #03905
Authorized official Colbert, Susan
Entity Organization
Organization subpart 1 No
Enumeration date Sep 12th, 2006
Last updated Jul 11th, 2012 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1427152495 NPPES
Other 1055436 OTHER ID NUMBER-COMMERCIAL NUMBER
MEDICAID 105826600 OTHER ID NUMBER-COMMERCIAL NUMBER
Other P00754232 OTHER ID NUMBER-COMMERCIAL NUMBER

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