Holiday CVS LLC

Pharmacy · Saint Augustine, FL

Organization Active NPI

NPI number 1295912079

Practice location

57 Tuscan Way
Saint Augustine, FL 32092
Phone
(904) 940-3817

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NPI record

NPI
1295912079
Entity type
Organization (Type 2)
Enumeration date
January 24, 2008
Last updated
September 23, 2011
Organization subpart
No

Specialties & taxonomy codes

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

Mailing address

1 CVS Dr
Box 1075-Pharmacy Enrollments
Woonsocket, RI 02895-6146
Phone
(401) 765-1500
Fax
(401) 770-7108

Authorized official

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

Other names

  • CVS Pharmacy 00652

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 57 Tuscan Way, Saint Augustine, FL 32092. The NPI number 1295912079 was assigned on January 24, 2008 and the record was last updated on September 23, 2011.

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

Frequently asked questions

What is the NPI number of Holiday CVS LLC?

The NPI number is 1295912079.

What is the phone number of Holiday CVS LLC?

The phone number listed for the practice location is (904) 940-3817.

Where is Holiday CVS LLC located?

57 Tuscan Way, Saint Augustine, FL 32092.

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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