Cvs Pharmacy #05145

LBN: Holiday Cvs Llc
Cvs Pharmacy #05145 is an health care organization with primary practice located at 4700 Nw 183Rd St , Miami Gardens FL 33055-2925. 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 (305) 620-6055, or through Colbert, Susan via phone (401) 770-2751.

Contact Information

Primary practice address
4700 Nw 183Rd St Miami Gardens FL 33055-2925
Phone: (305) 620-6055
Fax: (305) 620-6498
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 20469 Florida
Suppliers / Community/Retail Pharmacy 3336C0003X

Profile Details

NPI number 1578667432
LBN Legal business name Holiday Cvs Llc
DBA Doing business as Cvs Pharmacy #05145
Authorized official Colbert, Susan
Entity Organization
Organization subpart 1 No
Enumeration date Sep 12th, 2006
Last updated Jun 16th, 2021 - about 5 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 1578667432 NPPES
Other 1079943 OTHER ID NUMBER-COMMERCIAL NUMBER
MEDICAID 106074100 OTHER ID NUMBER-COMMERCIAL NUMBER

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