National Provider Identifier Database

HOLIDAY CVS LLC
Pharmacy

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.


Contact Information

HOLIDAY CVS LLC
11865-A SW 26TH STREET
MIAMI, FL33175
Phone: 305-220-1378
Fax:
Website:
Specialty Taxonomy Code
* Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X
Durable Medical Equipment & Medical Supplies 332B00000X

* Indicates primary specialty

NPI Profile & details for HOLIDAY CVS LLC

NPI Number 1154501146
Legal business name
LBN
HOLIDAY CVS LLC
Authorized official SUSAN COLBERT - (SR DIRECTOR,PAYER RELATIONS)
Entity Organization
Organization subpart No
Enumeration date 11/07/2007
Last updated 02/01/2021 - About 5 years ago
Sole proprietor1 Not specified
Identifiers
  • FL Medicaid: 012825000
  • FL Other: 1030179 NCPDP

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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