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HOLIDAY CVS LLC NPI 1578667457


NPI Information

NPI: 1578667457
Provider Name: HOLIDAY CVS LLC

Doing Business As: CVS PHARMACY # 00850

Classification: Pharmacy - 333600000X
Entity Type: Organization
Address:
5999 NORMANDY BLVD
JACKSONVILLE, FL
ZIP 32205
Phone: (904) 786-2148
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HOLIDAY CVS LLC is a pharmacy in Jacksonville, 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 1578667457. The provider is registered as an organization entity type.
The provider Is Doing Business As Cvs Pharmacy # 00850.

The provider's business location address is:

5999 NORMANDY BLVD
JACKSONVILLE, FL
ZIP 32205-265
Phone: (904) 786-2148
Fax: (904) 786-1410

The provider's authorized official is Cristiana Mauricio .
The authorized official title is Mgr Phcy Enrollments and has the following contact phone number (401) 770-2937.

The enumeration date for this NPI number is 9/12/2006 and was last updated on 11/17/2009.


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
2333600000XPharmacy20419FLORIDAYes

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
1BC034MEDICARE PIN
2105880100MEDICAIDFLORIDA
35140820066MEDICARE NSC
41005772OTHEROTHER ID NUMBER-COMMERCIAL NUMBER
5P00754232MEDICARE 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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