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HOLIDAY CVS LLC NPI 1194829002


NPI Information

NPI: 1194829002
Provider Name: HOLIDAY CVS LLC

Doing Business As: CVS PHARMACY 05177

Classification: Pharmacy - 333600000X
Entity Type: Organization
Address:
1345 N COURTENAY PKWY
MERRITT ISLAND, FL
ZIP 32953
Phone: (321) 449-8641
Get Directions

HOLIDAY CVS LLC is a pharmacy in Merritt Island, FL. The provider is 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. HOLIDAY CVS LLC NPI is 1194829002. The provider is registered as an organization entity type.
The provider Is Doing Business As Cvs Pharmacy 05177.

The provider's business location address is:

1345 N COURTENAY PKWY
MERRITT ISLAND, FL
ZIP 32953-424
Phone: (321) 449-8641

The provider's authorized official is Susan F Colbert .
The authorized official title is Director Phcy Enrollments and has the following contact phone number (401) 770-2751.

The enumeration date for this NPI number is 9/12/2006 and was last updated on 11/21/2012.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
13336C0003XPharmacyCommunity/Retail PharmacyNo
2333600000XPharmacyPH18867FLORIDAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
11097080OTHEROTHER ID NUMBER-COMMERCIAL NUMBER
25140820519MEDICARE NSC
3BC034MEDICARE PINFLORIDA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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