Holiday CVS LLC
Pharmacy · Jacksonville, FL
Practice location
13170 Atlantic BlvdJacksonville, FL 32225-6149
- Phone
- (904) 221-0024
- Fax
- (904) 221-9238
NPI record
- NPI
- 1003910969
- Entity type
- Organization (Type 2)
- Enumeration date
- September 12, 2006
- Last updated
- September 26, 2012
- Organization subpart
- No
Specialties & taxonomy codes
| Taxonomy | Code | License | State |
|---|---|---|---|
| Pharmacy Primary | 333600000X |
20382 | FL |
| Durable Medical Equipment & Medical Supplies | 332B00000X |
— | — |
| Community/Retail Pharmacy | 3336C0003X |
— | — |
Mailing address
1 CVS DrBox 1075
Woonsocket, RI 02895-6146
- Phone
- (401) 765-1500
Authorized official
- Name
- Susan Colbert
- Title
- Director, Payer Relations
- Phone
- (401) 770-2751
Other names
- CVS Pharmacy #03957
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 13170 Atlantic Blvd, Jacksonville, FL 32225-6149. The NPI number 1003910969 was assigned on September 12, 2006 and the record was last updated on September 26, 2012.
Holiday CVS LLC lists a license in the registry: #20382 (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 Colbert, Director, Payer Relations.
Frequently asked questions
What is the NPI number of Holiday CVS LLC?
The NPI number is 1003910969.
What is the phone number of Holiday CVS LLC?
The phone number listed for the practice location is (904) 221-0024.
Where is Holiday CVS LLC located?
13170 Atlantic Blvd, Jacksonville, FL 32225-6149.
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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