DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: HOLIDAY CVS LLC

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
13336C0003XCommunity/Retail Pharmacy
2333600000XPharmacyPH21122FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
11010672OTHEROTHER ID NUMBER-COMMERCIAL NUMBER

General Provider Information

NPI Number : 1790889673
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 : 8954 LANTANA RD
Second Line :
City : LAKE WORTH
State : FL
Zip : 33467-6112
Country : US
Telephone Number : 561-434-4776
Fax Number :
Authorized Official
Title or Position : DIRECTOR PAYER RELATIONS
Name : SUSAN COLBERT
Credential :
Telephone Number : 401-770-2751
Provider Enumeration Date : 09/12/2006
Last Update Date : 01/18/2023

Similar Medicare Providers

1619148079 — JASNA GRECO
Practice Location Address:
8954 LANTANA RD
LAKE WORTH, FL
33467-6112
Practice Phone: 866-389-2727
Practice Fax:
1194985663 — MRS. LORRAINE W HENDRICKSEN APRN
Practice Location Address:
8954 LANTANA RD
LAKE WORTH, FL
33467-6112
Practice Phone: 866-389-2727
Practice Fax:
1437468543 — MRS. MELANIE KATHLEEN JONES ARNP
Practice Location Address:
8954 LANTANA RD , #7891
LAKE WORTH, FL
33467-6112
Practice Phone: 866-389-2727
Practice Fax:
1336412592 — MRS. MICHELLE MARIE PARISIEN FNP-BC
Practice Location Address:
8954 LANTANA RD
LAKE WORTH, FL
33467-6112
Practice Phone: 866-389-2727
Practice Fax:
1467906552 — ANTHONY TOMASELLO NURSE PRACTITIONER
Practice Location Address:
8954 LANTANA RD
LAKE WORTH, FL
33467-6112
Practice Phone: 561-434-4776
Practice Fax:
1982101135 — LYANA MARIA ISSA
Practice Location Address:
8954 LANTANA RD
LAKE WORTH, FL
33467-6112
Practice Phone: 561-213-0801
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.