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, L.L.C.
5310 45TH STREET EAST
BRADENTON, FL34203
Phone: 941-751-4472
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, L.L.C.

NPI Number 1467522375
Legal business name
LBN
HOLIDAY CVS, L.L.C.
Authorized official SUSAN COLBERT - (DIRECTOR PAYER RELATIONS)
Entity Organization
Organization subpart No
Enumeration date 11/08/2006
Last updated 09/26/2011 - About 15 years ago
Sole proprietor1 Not specified
Identifiers
  • FL License #: PH22353
  • FL Medicaid: 031778100

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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