Holiday CVS LLC

Pharmacy · Saint Augustine, FL

Organization Active NPI

NPI number 1659475507

Practice location

1920 a1a S
Saint Augustine, FL 32080-6508
Phone
(904) 471-2010
Fax
(904) 461-8607

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NPI record

NPI
1659475507
Entity type
Organization (Type 2)
Enumeration date
September 12, 2006
Last updated
September 26, 2012
Organization subpart
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Pharmacy Primary 333600000X 20566 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 F Colbert
Title
Director, Payer Relations
Phone
(401) 770-2751

Other names

  • CVS Pharmacy #04361

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 1920 a1a S, Saint Augustine, FL 32080-6508. The NPI number 1659475507 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: #20566 (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 1659475507.

What is the phone number of Holiday CVS LLC?

The phone number listed for the practice location is (904) 471-2010.

Where is Holiday CVS LLC located?

1920 a1a S, Saint Augustine, FL 32080-6508.

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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