Cvs Pharmacy 07883
LBN: Holiday Cvs Llc
Cvs Pharmacy 07883 is an health care organization with primary practice located at 4215 9Th St Sw , Vero Beach FL 32968-4806. 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 (772) 564-8235, or through Mauricio, Cristiana via phone (401) 770-2937.
Contact Information
Primary practice address
4215 9Th St Sw
Vero Beach FL 32968-4806
Phone: (772) 564-8235
Fax: (772) 564-8698
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Pharmacy | 333600000X | 20231 | Florida |
| Suppliers / Community/Retail Pharmacy | 3336C0003X |
Profile Details
| NPI number | 1902900988 |
|---|---|
| LBN Legal business name | Holiday Cvs Llc |
| DBA Doing business as | Cvs Pharmacy 07883 |
| Authorized official | Mauricio, Cristiana |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Sep 12th, 2006 |
| Last updated | Dec 4th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1902900988 | NPPES |
| Florida | MEDICAID | 026729500 | |
| Florida | Other | 1002954 |
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