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HOLIDAY CVS LLC NPI 1902900822


NPI Information

NPI: 1902900822
Provider Name: HOLIDAY CVS LLC

Doing Business As: CVS PHARMACY 05780

Classification: Pharmacy - 333600000X
Entity Type: Organization
Address:
4302 CORTEZ RD W
BRADENTON, FL
ZIP 34210
Phone: (941) 792-2899
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HOLIDAY CVS LLC is a pharmacy in Bradenton, 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 1902900822. The provider is registered as an organization entity type.
The provider Is Doing Business As Cvs Pharmacy 05780.

The provider's business location address is:

4302 CORTEZ RD W
BRADENTON, FL
ZIP 34210-139
Phone: (941) 792-2899

The provider's authorized official is Susan F Colbert .
The authorized official title is Diector 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 9/26/2011.


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
2333600000XPharmacyPH19539FLORIDAYes

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
11099969OTHEROTHER ID NUMBER-COMMERCIAL NUMBER
2P00754232MEDICARE PIN
3BC034MEDICARE PINFLORIDA
45140820603MEDICARE 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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