Holiday CVS LLC

Pharmacy · Ponte Vedra, FL

Organization Active NPI

NPI number 1003910910

Practice location

152 Front St
Ponte Vedra, FL 32082-3058

Phone: (904) 285-3634
Fax: (904) 285-7378

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NPI record

NPI: 1003910910
Entity type: Organization (Type 2)
Enumeration date: September 12, 2006
Last updated: December 17, 2013
Organization subpart: No

Specialties & taxonomy codes

Taxonomy	Code	License	State
Pharmacy Primary	`333600000X`	20314	FL
Durable Medical Equipment & Medical Supplies	`332B00000X`	—	—
Community/Retail Pharmacy	`3336C0003X`	—	—

Mailing address

1 CVS Dr
PO Box 1075
Woonsocket, RI 02895-6146

Phone: (401) 765-1500

Authorized official

Name: Susan F Colbert
Title: Director Payer Relations
Phone: (401) 770-2751

Other names

CVS Pharmacy 03631

About Holiday CVS LLC

Holiday CVS LLC is a healthcare organization registered in the NPI registry with the primary taxonomy Pharmacy (code 333600000X). The practice location is 152 Front St, Ponte Vedra, FL 32082-3058. The NPI number 1003910910 was assigned on September 12, 2006 and the record was last updated on December 17, 2013.

Holiday CVS LLC lists a license in the registry: #20314 (FL) for Pharmacy. License numbers are self-reported to NPPES; verify them with the state licensing board.

The authorized official for this organization is Susan F Colbert, Director Payer Relations.

Frequently asked questions

What is the NPI number of Holiday CVS LLC?

The NPI number is 1003910910.

What is the phone number of Holiday CVS LLC?

The phone number listed for the practice location is (904) 285-3634.

Where is Holiday CVS LLC located?

152 Front St, Ponte Vedra, FL 32082-3058.

What is the taxonomy code for Holiday CVS LLC?

The primary taxonomy code is 333600000X – Pharmacy; 2 more listed above.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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