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
301 S. 6TH AVE
WAUCHULA, FL33873
Phone: 863-767-1195
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 1962672105
Legal business name
LBN
HOLIDAY CVS LLC
Authorized official SUSAN COLBERT - (DIRECTOR, PAYER RELATIONS)
Entity Organization
Organization subpart No
Enumeration date 03/04/2008
Last updated 11/06/2012 - About 14 years ago
Sole proprietor1 Not specified
Identifiers
  • FL Medicaid: 032603800
  • Other: 1033036 NCPDP
  • FL Other: 032603801 FL DME

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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