Cvs Pharmacy #03218

LBN: Holiday Cvs Llc
Cvs Pharmacy #03218 is an health care organization with primary practice located at 10200 Seminole Blvd , Seminole FL 33778-4201. 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 (727) 395-0139, or through Colbert, Susan via phone (401) 770-2751.

Contact Information

Primary practice address
10200 Seminole Blvd Seminole FL 33778-4201
Fax: (727) 588-9622
Website:
Authorized official contact:
Name: Colbert, Susan

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X
Suppliers / Pharmacy 333600000X 20555 Florida
Suppliers / Community/Retail Pharmacy 3336C0003X

Profile Details

NPI number 1710081609
LBN Legal business name Holiday Cvs Llc
DBA Doing business as Cvs Pharmacy #03218
Authorized official Colbert, Susan
Entity Organization
Organization subpart 1 No
Enumeration date Sep 12th, 2006
Last updated Sep 10th, 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 1710081609 NPPES
Florida MEDICAID 105974200
Florida Other 1032995

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