<Unavail>

LBN: Holiday Cvs Llc
<Unavail> is an health care organization with primary practice located at 420 N Main St , Bushnell FL 33513-5427. 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 (352) 793-8577, or through Colbert, Susan F via phone (401) 770-2751.

Contact Information

Primary practice address
420 N Main St Bushnell FL 33513-5427
Phone: (352) 793-8577
Fax: (352) 793-5374
Website:
Map and Directions
Authorized official contact:
Name: Colbert, Susan F
Phone: (401) 770-2751

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X 20460 Florida
Suppliers / Community/Retail Pharmacy 3336C0003X

Profile Details

NPI number 1285738195
LBN Legal business name Holiday Cvs Llc
DBA Doing business as <Unavail>
Authorized official Colbert, Susan F
Entity Organization
Organization subpart 1 No
Enumeration date Sep 12th, 2006
Last updated Nov 14th, 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1285738195 NPPES
Florida MEDICAID 105590900
Florida Other 1049623
Florida Other P00754232

Popular Providers