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HOLIDAY CVS LLC NPI 1750485611


NPI Information

NPI: 1750485611
Provider Name: HOLIDAY CVS LLC

Doing Business As: CVS PHARMACY

Classification: Pharmacy - 333600000X
Entity Type: Organization

CLIA Number: 10D2222104

Address:
1150 NE 26TH ST
WILTON MANORS, FL
ZIP 33305
Phone: (954) 566-7474
Get Directions

HOLIDAY CVS LLC is a pharmacy in Wilton Manors, 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 1750485611. The provider is registered as an organization entity type.
The provider Is Doing Business As Cvs Pharmacy.

The provider's business location address is:

1150 NE 26TH ST
WILTON MANORS, FL
ZIP 33305-245
Phone: (954) 566-7474
Fax: (954) 564-4768

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 CLIA number assigned to this NPI record is 10D2222104 - pharmacy with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 9/12/2006 and was last updated on 9/25/2007.


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
13336C0003XPharmacyCommunity/Retail PharmacyNo
2333600000XPharmacy20580FLORIDAYes

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
11079359OTHEROTHER ID NUMBER-COMMERCIAL NUMBER
25140820521MEDICARE NSC

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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