Holiday CVS LLC

Pharmacy · Port Orange, FL

Organization Active NPI

NPI number 1043314941

Practice location

1001 Dunlawton Ave
Port Orange, FL 32127-4708
Phone
(386) 788-1500
Fax
(386) 760-8744

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NPI record

NPI
1043314941
Entity type
Organization (Type 2)
Enumeration date
September 12, 2006
Last updated
November 14, 2012
Organization subpart
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Pharmacy Primary 333600000X 20371 FL
Durable Medical Equipment & Medical Supplies 332B00000X — —
Community/Retail Pharmacy 3336C0003X — —

Mailing address

1 CVS Dr
Box 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 #03271

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 1001 Dunlawton Ave, Port Orange, FL 32127-4708. The NPI number 1043314941 was assigned on September 12, 2006 and the record was last updated on November 14, 2012.

Holiday CVS LLC lists a license in the registry: #20371 (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 1043314941.

What is the phone number of Holiday CVS LLC?

The phone number listed for the practice location is (386) 788-1500.

Where is Holiday CVS LLC located?

1001 Dunlawton Ave, Port Orange, FL 32127-4708.

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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