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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.

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Contact Information

HOLIDAY CVS LLC
8495 S FEDERAL HWY
VERO BEACH, FL  32967
 Phone: 772-589-2822
 Fax:
 Website:
 

Specialty

 Taxonomy Code Specialty Code Provider Type

Pharmacy

 333600000X 58 Medical Supply Company with Pharmacist
 

Community/Retail Pharmacy

 3336C0003X 58 Medical Supply Company with Pharmacist
Indicates primary specialty

NPI Profile & details for HOLIDAY CVS LLC

NPI Number 1225133051
LBN Legal business name HOLIDAY CVS LLC
Authorized official SUSAN COLBERT - (DIRECTOR PAYER RELATIONS)
Entity Organization
Organization subpart 1 No
Enumeration date 09/14/2006
Last updated 12/04/2012 - About 14 years ago
Identifiers
FL License # PH21238
FL Medicaid 028486600
Other 1010785 OTHER ID NUMBER-COMMERCIAL NUMBER
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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