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HOLIDAY CVS LLC NPI 1811091770


NPI Information

NPI: 1811091770
Provider Name: HOLIDAY CVS LLC

Doing Business As: CVS PHARMACY #04201

Classification: Pharmacy - 333600000X
Entity Type: Organization
Address:
2240 E SUNRISE BLVD
FORT LAUDERDALE, FL
ZIP 33304
Phone: (954) 566-8309
Get Directions

HOLIDAY CVS LLC is a pharmacy in Fort Lauderdale, 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 1811091770. The provider is registered as an organization entity type.
The provider Is Doing Business As Cvs Pharmacy #04201.

The provider's business location address is:

2240 E SUNRISE BLVD
FORT LAUDERDALE, FL
ZIP 33304-543
Phone: (954) 566-8309
Fax: (954) 566-4947

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 8/23/2013.


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
2332B00000XDurable Medical Equipment & Medical SuppliesNo
3333600000XPharmacy20482FLORIDAYes

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
11068015OTHEROTHER ID NUMBER-COMMERCIAL NUMBER
2105534800MEDICAIDFLORIDA
3BC034AMEDICARE PIN
45140820236MEDICARE 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: 11/14/2023

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