Cvs Pharmacy #11469

LBN: Holiday Cvs Llc
Cvs Pharmacy #11469 is an health care organization with primary practice located at 630 Crosswater Pkwy , Ponte Vedra Beach FL 32081. 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 (401) 765-1500, or through Colbert, Susan F via phone (401) 770-2751.

Contact Information

Primary practice address
630 Crosswater Pkwy Ponte Vedra Beach FL 32081
Phone: (401) 765-1500
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Colbert, Susan F
Phone: (401) 770-2751

Health care specialties

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

Profile Details

NPI number 1891466421
LBN Legal business name Holiday Cvs Llc
DBA Doing business as Cvs Pharmacy #11469
Authorized official Colbert, Susan F
Entity Organization
Organization subpart 1 No
Enumeration date Sep 23rd, 2021
Last updated Oct 1st, 2021 - about 3 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 1891466421 NPPES
Florida Other 5749001 NCPDP

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