Holiday Cvs LLC
Pharmacy in Estero, FL. Organization (NPI-2).
NPI number1104920180
StatusActive
Last updated in NPPESSep 11, 2012
Details
- NPI
- 1104920180
- Entity type
- Organization (NPI-2)
- Legal business name
- Holiday Cvs LLC
- Organization subpart
- No
- Enumeration date
- Sep 12, 2006
- Last updated
- Sep 11, 2012
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 333600000X | Pharmacy | 20764 | FL | Yes |
| 3336C0003X | Pharmacy, Community/Retail Pharmacy | – | – | |
| 332B00000X | Durable Medical Equipment & Medical Supplies | – | – |
Other names
- Cvs Pharmacy #03281 (Doing Business As)
Practice location
11241 Miromar Square BlvdEstero, FL 33928-6229
Phone 239-992-6168 · Fax 239-992-8133
Mailing address
1 Cvs DrPo Box 1075
Woonsocket, RI 02895-6146
Phone 401-765-1500
Authorized official
Susan F Colbert
Director, Payer Relations
4017702751
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