Holiday Cvs LLC
Pharmacy in Panama City, FL. Organization (NPI-2).
NPI number1275637142
StatusActive
Last updated in NPPESDec 14, 2012
Details
- NPI
- 1275637142
- Entity type
- Organization (NPI-2)
- Legal business name
- Holiday Cvs LLC
- Organization subpart
- No
- Enumeration date
- Sep 12, 2006
- Last updated
- Dec 14, 2012
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 333600000X | Pharmacy | 20111 | FL | Yes |
| 3336C0003X | Pharmacy, Community/Retail Pharmacy | – | – |
Other names
- Cvs Pharmacy 05204 (Doing Business As)
Practice location
955 W 23rd StPanama City, FL 32405-3928
Phone 850-769-3366 · Fax 850-769-8015
Mailing address
1 Cvs DrPo Box 1075
Woonsocket, RI 02895-6146
Authorized official
Susan F Colbert
Director Phcy Enrollments
4017702937
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