Cvs Pharmacy #03127

LBN: Holiday Cvs Llc
Cvs Pharmacy #03127 is an health care organization with primary practice located at 99 Magnolia Ave , Auburndale FL 33823-4301. 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 (863) 967-4451, or through Colbert, Susan via phone (401) 770-2751.

Contact Information

Primary practice address
99 Magnolia Ave Auburndale FL 33823-4301
Fax: (863) 967-3647
Website:
Authorized official contact:
Name: Colbert, Susan

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X 20537 Florida
Suppliers / Community/Retail Pharmacy 3336C0003X

Profile Details

NPI number 1447354329
LBN Legal business name Holiday Cvs Llc
DBA Doing business as Cvs Pharmacy #03127
Authorized official Colbert, Susan
Entity Organization
Organization subpart 1 No
Enumeration date Sep 12th, 2006
Last updated Aug 23rd, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1447354329 NPPES
Other 1007132 OTHER ID NUMBER-COMMERCIAL NUMBER
MEDICAID 105796100 OTHER ID NUMBER-COMMERCIAL NUMBER
Other P00754232 OTHER ID NUMBER-COMMERCIAL NUMBER

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