Holiday Cvs LLC
Pharmacy in Brooksville, FL. Organization (NPI-2).
NPI number1588768477
StatusActive
Last updated in NPPESNov 6, 2012
Details
- NPI
- 1588768477
- Entity type
- Organization (NPI-2)
- Legal business name
- Holiday Cvs LLC
- Organization subpart
- No
- Enumeration date
- Sep 12, 2006
- Last updated
- Nov 6, 2012
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 333600000X | Pharmacy | 20430 | FL | Yes |
| 3336C0003X | Pharmacy, Community/Retail Pharmacy | – | – | |
| 332B00000X | Durable Medical Equipment & Medical Supplies | – | – |
Other names
- Cvs Pharmacy#01812 (Doing Business As)
Practice location
20019 Cortez BlvdBrooksville, FL 34601-3835
Phone 352-796-7261 · Fax 352-799-1038
Mailing address
1 Cvs DrPo Box 1075
Woonsocket, RI 02895-6146
Authorized official
Susan F Colbert
Director, Payer Relations
4017702751
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