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HOLIDAY CVS LLC NPI 1447354428


NPI Information

NPI: 1447354428
Provider Name: HOLIDAY CVS LLC

Doing Business As: CVS PHARMACY # 00163

Classification: Pharmacy - 333600000X
Entity Type: Organization
Address:
1635 BARTOW RD
LAKELAND, FL
ZIP 33801
Phone: (863) 686-5161
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HOLIDAY CVS LLC is a pharmacy in Lakeland, 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 1447354428. The provider is registered as an organization entity type.
The provider Is Doing Business As Cvs Pharmacy # 00163.

The provider's business location address is:

1635 BARTOW RD
LAKELAND, FL
ZIP 33801-585
Phone: (863) 686-5161
Fax: (863) 683-0788

The provider's authorized official is Susan F Colbert .
The authorized official title is Director Payer Relations 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 3/13/2012.


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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1332B00000XDurable Medical Equipment & Medical SuppliesNo
23336C0003XPharmacyCommunity/Retail PharmacyNo
3333600000XPharmacy20564FLORIDAYes

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 Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1105499600MEDICAIDFLORIDA
25140820707MEDICARE NSC
3P00754232MEDICARE PIN
41004287OTHEROTHER ID NUMBER-COMMERCIAL NUMBER
5BC034MEDICARE PIN

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: 5/5/2024

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