Cvs Pharmacy 05115

LBN: Holiday Cvs Llc
Cvs Pharmacy 05115 is an health care organization with primary practice located at 2920 Sw 64Th Ave , Davie FL 33314-1601. 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 (954) 584-8059, or through Mauricio, Cristiana via phone (401) 770-2937.

Contact Information

Primary practice address
2920 Sw 64Th Ave Davie FL 33314-1601
Phone: (954) 584-8059
Fax: (954) 327-0116
Website:
Map and Directions
Authorized official contact:
Name: Mauricio, Cristiana
Phone: (401) 770-2937

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X 20589 Florida
Suppliers / Community/Retail Pharmacy 3336C0003X

Profile Details

NPI number 1790889657
LBN Legal business name Holiday Cvs Llc
DBA Doing business as Cvs Pharmacy 05115
Authorized official Mauricio, Cristiana
Entity Organization
Organization subpart 1 No
Enumeration date Sep 12th, 2006
Last updated Dec 7th, 2009 - about 15 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 1790889657 NPPES
Florida MEDICAID 105725100
Florida Other 1075678

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