Cvs Pharmacy 03139

LBN: Holiday Cvs Llc
Cvs Pharmacy 03139 is an health care organization with primary practice located at 3555 13Th St , Saint Cloud FL 34769-4054. 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 (407) 892-7161, or through Colbert, Susan F via phone (401) 770-2751.

Contact Information

Primary practice address
3555 13Th St Saint Cloud FL 34769-4054
Phone: (407) 892-7161
Fax: (407) 892-5184
Website:
Map and Directions
Authorized official contact:
Name: Colbert, Susan F
Phone: (401) 770-2751

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X 20177 Florida
Suppliers / Community/Retail Pharmacy 3336C0003X

Profile Details

NPI number 1124122015
LBN Legal business name Holiday Cvs Llc
DBA Doing business as Cvs Pharmacy 03139
Authorized official Colbert, Susan F
Entity Organization
Organization subpart 1 No
Enumeration date Sep 12th, 2006
Last updated Aug 23rd, 2012 - about 14 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 1124122015 NPPES
Florida MEDICAID 105801100
Florida Other 1020902

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