Holiday CVS LLC
Pharmacy · Jasper, FL
Practice location
100 2ND Ave SEJasper, FL 32052-6114
- Phone
- (386) 792-2551
- Fax
- (386) 792-3577
NPI record
- NPI
- 1114021078
- Entity type
- Organization (Type 2)
- Enumeration date
- September 12, 2006
- Last updated
- November 21, 2012
- Organization subpart
- No
Specialties & taxonomy codes
| Taxonomy | Code | License | State |
|---|---|---|---|
| Pharmacy Primary | 333600000X |
20642 | FL |
| Community/Retail Pharmacy | 3336C0003X |
— | — |
Mailing address
1 CVS DrPO Box 1075
Woonsocket, RI 02895-6146
Authorized official
- Name
- Susan F Colbert
- Title
- Director PHCY Enrollments
- Phone
- (401) 770-2751
Other names
- CVS Pharmacy 05169
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 100 2ND Ave SE, Jasper, FL 32052-6114. The NPI number 1114021078 was assigned on September 12, 2006 and the record was last updated on November 21, 2012.
Holiday CVS LLC lists a license in the registry: #20642 (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 PHCY Enrollments.
Frequently asked questions
What is the NPI number of Holiday CVS LLC?
The NPI number is 1114021078.
What is the phone number of Holiday CVS LLC?
The phone number listed for the practice location is (386) 792-2551.
Where is Holiday CVS LLC located?
100 2ND Ave SE, Jasper, FL 32052-6114.
What is the taxonomy code for Holiday CVS LLC?
The primary taxonomy code is 333600000X – Pharmacy; 1 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.