<Unavail>

LBN: Holiday Cvs Llc
<Unavail> is an health care organization with primary practice located at 822 W Pensacola St , Tallahassee FL 32304-8036. 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 (850) 841-1049, or through Colbert, Susan via phone (401) 770-2751.

Contact Information

Primary practice address
822 W Pensacola St Tallahassee FL 32304-8036
Phone: (850) 841-1049
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Colbert, Susan
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 1376947572
LBN Legal business name Holiday Cvs Llc
DBA Doing business as <Unavail>
Authorized official Colbert, Susan
Entity Organization
Organization subpart 1 No
Enumeration date Oct 16th, 2014
Last updated Feb 9th, 2015 - about 11 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 1376947572 NPPES
Other 5723350 NCPDP
MEDICAID 013936400 NCPDP

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