Holiday Cvs Llc, NPI 1306940200
Pharmacy in Boca Raton, FL, US

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NPI number: what is it?

The NPI, or National Provider Identifier, is a non-repeatable number for health care providers. The NPI always consists of 10 digits and is used for administrative and financial procedures. The NPI wa...

NPI 1306940200
NPI Entity Type Organization
Provider Name Holiday Cvs Llc
Doing Business As
Enumeration Date September 30, 2009
Last Update Date September 30, 2009
Provider Location Address 686 Glades Rd, Boca Raton, FL, US
Provider Mailing Address 1 Cvs Dr, Po Box 1075, Woonsocket, RI, US, 028956146
Is Sole Proprietor? No
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Organization Official

Official Name Susan Colbert
Official Position DIRECTOR PAYER RELATIONS
Phone 401-770-2751

Primary Taxonomy

Taxonomy Code

333600000X

Taxonomy Name Pharmacy
Classification

Pharmacy

Group

Suppliers

License No. 20536
License State FL
Description A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located.

Other Organization Name

CVS PHARMACY 03275
Doing Business As

Business Address

Holiday Cvs Llc
686 Glades Rd

Boca Raton, FL, US

Phone: 561-395-6130
Fax: 561-391-5835

Mailing Address

Holiday Cvs Llc
1 Cvs Dr
Po Box 1075
Woonsocket, RI, US
ZIP 028956146

Secondary Taxonomies

Taxonomy Code Group Classification License No. State Primary?

3336C0003X

Suppliers

Pharmacy

No

332B00000X

Suppliers

Durable Medical Equipment & Medical Supplies

No

Other Identifiers

Identifier Identifier State Identifier Issuer Type/Code
105864900 FL MEDICAID 05
1038670 OTHER ID NUMBER-COMMERCIAL NUMBER 01

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