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HOLIDAY CVS LLC NPI 1295839116


NPI Information

NPI: 1295839116
Provider Name: HOLIDAY CVS LLC

Doing Business As: CVS PHARMACY 03622

Classification: Pharmacy - 333600000X
Entity Type: Organization
Address:
4100 HANCOCK BRIDGE PKWY
NORTH FORT MYERS, FL
ZIP 33903
Phone: (239) 997-3733
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HOLIDAY CVS LLC is a pharmacy in North Fort Myers, 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 1295839116. The provider is registered as an organization entity type.
The provider Is Doing Business As Cvs Pharmacy 03622.

The provider's business location address is:

4100 HANCOCK BRIDGE PKWY
NORTH FORT MYERS, FL
ZIP 33903-251
Phone: (239) 997-3733
Fax: (239) 995-0765

The provider's authorized official is Susan 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 9/7/2012.


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
13336C0003XPharmacyCommunity/Retail PharmacyNo
2333600000XPharmacy20206FLORIDAYes

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
1BC034AMEDICARE PINFLORIDA
2105575500MEDICAIDFLORIDA
3P00949648MEDICARE PIN
41052339OTHEROTHER ID NUMBER-COMMERCIAL NUMBER
55140820202MEDICARE 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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