MEDICARE: HOLIDAY CVS LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	332B00000X	Durable Medical Equipment & Medical Supplies
2	3336C0003X	Community/Retail Pharmacy
3	333600000X	Pharmacy	20577	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	1055311	OTHER		OTHER ID NUMBER-COMMERCIAL NUMBER

General Provider Information

NPI Number	:	1518062348
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HOLIDAY CVS LLC

Provider Business Mailing Address
First Line	:	1 CVS DR
Second Line	:	PO BOX 1075
City	:	WOONSOCKET
State	:	RI
Zip	:	02895-6146
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	21140 ST ANDREWS BLVD
Second Line	:
City	:	BOCA RATON
State	:	FL
Zip	:	33433-2404
Country	:	US
Telephone Number	:	561-391-9613
Fax Number	:	561-347-9372

Authorized Official
Title or Position	:	DIRECTOR PAYER RELATIONS
Name	:	SUSAN F COLBERT
Credential	:
Telephone Number	:	401-770-2751

Provider Enumeration Date	:	09/14/2006
Last Update Date	:	04/07/2015

Similar Medicare Providers

1356301394 — DR. RONALD P SNYDER OD
Practice Location Address:

21126 SAINT ANDREWS BLVD
BOCA RATON, FL
33433-2404

Practice Phone: 561-347-7977
Practice Fax: 561-347-7311

1780711911 — EYE SOURCE LLC
Practice Location Address:

21126 SAINT ANDREWS BLVD
BOCA RATON, FL
33433-2404

Practice Phone: 561-347-7977
Practice Fax: 561-347-7311

1417227901 — ARDAGH INC.
Practice Location Address:

21126 SAINT ANDREWS BLVD
BOCA RATON, FL
33433-2404

Practice Phone: 561-347-7977
Practice Fax: 561-347-7311

1386052694 — KORTNEE SINDEL P.T.
Practice Location Address:

5677 PACIFIC BLVD APT 2404
BOCA RATON, FL
33433-6738

Practice Phone: 402-450-6689
Practice Fax:

1649654369 — DR. RYAN BECK O.D.
Practice Location Address:

21126 SAINT ANDREWS BLVD
BOCA RATON, FL
33433-2404

Practice Phone: 561-221-6636
Practice Fax:

1891391819 — ANTHONY FELT
Practice Location Address:

21140 SAINT ANDREWS BLVD
BOCA RATON, FL
33433-2404

Practice Phone: 561-391-9613
Practice Fax:

Directions to “HOLIDAY CVS LLC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.