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
630 CROSSWATER PKWY
PONTE VEDRA BEACH, FL32081
Phone: 401-765-1500
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 1891466421
Legal business name
LBN
HOLIDAY CVS LLC
Authorized official SUSAN COLBERT - (SR. DIRECTOR, PAYER RELATIONS)
Entity Organization
Organization subpart No
Enumeration date 09/23/2021
Last updated 10/01/2021 - About 5 years ago
Sole proprietor1 Not specified
Identifiers
  • FL Other: 5749001 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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