Holiday Cvs LLC
Pharmacy in Jensen Beach, FL. Organization (NPI-2).
NPI number1336243294
StatusActive
Last updated in NPPESNov 16, 2012
Details
- NPI
- 1336243294
- Entity type
- Organization (NPI-2)
- Legal business name
- Holiday Cvs LLC
- Organization subpart
- No
- Enumeration date
- Sep 12, 2006
- Last updated
- Nov 16, 2012
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 333600000X | Pharmacy | 20584 | FL | Yes |
| 3336C0003X | Pharmacy, Community/Retail Pharmacy | – | – |
Other names
- Cvs Pharmacy 05119 (Doing Business As)
Practice location
4232 Ne Ocean BlvdJensen Beach, FL 34957-4307
Phone 772-225-9800 · Fax 772-225-4840
Mailing address
1 Cvs DrPo Box 1075
Woonsocket, RI 02895-6146
Phone 401-765-1500
Authorized official
Susan Colbert
Director Payer Relations
4017702751
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
Other Pharmacy providers in Jensen Beach, FL
Checking a whole list?
Paste up to 5,000 NPIs and download status, name, taxonomy, license and address for each one. Useful for credentialing, billing and pharmacy claim checks.