Cvs Pharmacy 00587

LBN: Holiday Cvs Llc
Cvs Pharmacy 00587 is an health care organization with primary practice located at 120 W Van Fleet Dr , Bartow FL 33830-3836. 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 (863) 533-4153, or through Colbert, Susan F via phone (401) 770-2751.

Contact Information

Primary practice address
120 W Van Fleet Dr Bartow FL 33830-3836
Phone: (863) 533-4153
Fax: (863) 519-0027
Website:
Map and Directions
Authorized official contact:
Name: Colbert, Susan F
Phone: (401) 770-2751

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X 20176 Florida
Suppliers / Community/Retail Pharmacy 3336C0003X

Profile Details

NPI number 1336243310
LBN Legal business name Holiday Cvs Llc
DBA Doing business as Cvs Pharmacy 00587
Authorized official Colbert, Susan F
Entity Organization
Organization subpart 1 No
Enumeration date Sep 12th, 2006
Last updated Nov 5th, 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 1336243310 NPPES
Other 1004667 OTHER ID NUMBER-COMMERCIAL NUMBER
MEDICAID 105991200 OTHER ID NUMBER-COMMERCIAL NUMBER

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