Cvs Pharmacy #17428
LBN: Holiday Cvs Llc
Cvs Pharmacy #17428 is an health care organization with primary practice located at 5100 E Highway 100 , Palm Coast FL 32164-2365. 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 (386) 313-3952, or through Colbert, Susan via phone (401) 770-2751.
Contact Information
Primary practice address
5100 E Highway 100
Palm Coast FL 32164-2365
Phone: (386) 313-3952
Fax: (386) 313-3962
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Durable Medical Equipment & Medical Supplies | 332B00000X | ||
| Suppliers / Pharmacy | 333600000X | ||
| Suppliers / Community/Retail Pharmacy | 3336C0003X | PH 29748 | Florida |
Profile Details
| NPI number | 1992966246 |
|---|---|
| LBN Legal business name | Holiday Cvs Llc |
| DBA Doing business as | Cvs Pharmacy #17428 |
| Authorized official | Colbert, Susan |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jun 19th, 2008 |
| Last updated | Sep 22nd, 2016 - about 8 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1992966246 | NPPES |
| Other | 2011900 | PK |
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