Holiday CVS LLC
Pharmacy · Lake Mary, FL
Practice location
4155 W Lake Mary BlvdLake Mary, FL 32746-2410
- Phone
- (407) 330-9190
- Fax
- (407) 547-3513
NPI record
- NPI
- 1912929530
- Entity type
- Organization (Type 2)
- Enumeration date
- July 24, 2006
- Last updated
- September 22, 2016
- Organization subpart
- No
Specialties & taxonomy codes
| Taxonomy | Code | License | State |
|---|---|---|---|
| Pharmacy Primary | 333600000X |
— | — |
| Durable Medical Equipment & Medical Supplies | 332B00000X |
— | — |
| Community/Retail Pharmacy | 3336C0003X |
PH 29681 | FL |
Mailing address
1 CVS DrBox 1075
Woonsocket, RI 02895-6146
- Phone
- (401) 765-1500
Authorized official
- Name
- Susan Colbert
- Title
- Sr. Director, Payer Relations
- Phone
- (401) 770-2751
Other names
- CVS Pharmacy #16289
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 4155 W Lake Mary Blvd, Lake Mary, FL 32746-2410. The NPI number 1912929530 was assigned on July 24, 2006 and the record was last updated on September 22, 2016.
Holiday CVS LLC lists a license in the registry: #PH 29681 (FL) for Community/Retail Pharmacy. License numbers are self-reported to NPPES; verify them with the state licensing board.
The authorized official for this organization is Susan Colbert, Sr. Director, Payer Relations.
Frequently asked questions
What is the NPI number of Holiday CVS LLC?
The NPI number is 1912929530.
What is the phone number of Holiday CVS LLC?
The phone number listed for the practice location is (407) 330-9190.
Where is Holiday CVS LLC located?
4155 W Lake Mary Blvd, Lake Mary, FL 32746-2410.
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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