Holiday CVS LLC

Pharmacy · Davie, FL

Organization Active NPI

NPI number 1790889657

Practice location

2920 SW 64TH Ave
Davie, FL 33314-1601
Phone
(954) 584-8059
Fax
(954) 327-0116

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NPI record

NPI
1790889657
Entity type
Organization (Type 2)
Enumeration date
September 12, 2006
Last updated
December 7, 2009
Organization subpart
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Pharmacy Primary 333600000X 20589 FL
Community/Retail Pharmacy 3336C0003X — —

Mailing address

1 CVS Dr
PO Box 1075
Woonsocket, RI 02895-6146

Authorized official

Name
Cristiana Mauricio
Title
MGR PHCY Enrollments
Phone
(401) 770-2937

Other names

  • CVS Pharmacy 05115

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 2920 SW 64TH Ave, Davie, FL 33314-1601. The NPI number 1790889657 was assigned on September 12, 2006 and the record was last updated on December 7, 2009.

Holiday CVS LLC lists a license in the registry: #20589 (FL) for Pharmacy. License numbers are self-reported to NPPES; verify them with the state licensing board.

The authorized official for this organization is Cristiana Mauricio, MGR PHCY Enrollments.

Frequently asked questions

What is the NPI number of Holiday CVS LLC?

The NPI number is 1790889657.

What is the phone number of Holiday CVS LLC?

The phone number listed for the practice location is (954) 584-8059.

Where is Holiday CVS LLC located?

2920 SW 64TH Ave, Davie, FL 33314-1601.

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.

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