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
2332B00000XDurable Medical Equipment & Medical Supplies
3333600000XPharmacyPH21510FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
11014048OTHEROTHER ID NUMBER-COMMERCIAL NUMBER

General Provider Information

NPI Number : 1942304829
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 : 401-765-1500
Fax Number :
Provider Business Practice Location Address
First Line : 7575 OSCEOLA POLK LINE RD
Second Line :
City : DAVENPORT
State : FL
Zip : 33896-9112
Country : US
Telephone Number : 321-677-0531
Fax Number :
Authorized Official
Title or Position : DIRECTOR PHCY ENROLLMENTS
Name : SUSAN F COLBERT
Credential :
Telephone Number : 401-770-2751
Provider Enumeration Date : 09/12/2006
Last Update Date : 08/16/2012

Similar Medicare Providers

1750345898 — MARY JOHNSON ARNP
Practice Location Address:
7575 OSCEOLA POLK LINE RD
DAVENPORT, FL
33896-9112
Practice Phone: 321-677-0531
Practice Fax: 321-677-0537
1689880130 — MRS. CYNTHIA SUZANNE BRUNS-SMIT ARNP
Practice Location Address:
7575 OSCEOLA POLK LINE RD
DAVENPORT, FL
33896-9112
Practice Phone: 321-677-0531
Practice Fax:
1083968135 — DR. MAX BEAUVOIR PHARMD
Practice Location Address:
7575 OSCEOLA POLK LINE RD
DAVENPORT, FL
33896-9112
Practice Phone: 321-677-0531
Practice Fax: 321-677-0537
1003352204 — BRIANA BROWN FNP
Practice Location Address:
7575 OSCEOLA POLK LINE RD
DAVENPORT, FL
33896-9112
Practice Phone: 321-677-0531
Practice Fax:
1437751690 — KRISTEN SMITH
Practice Location Address:
7575 OSCEOLA POLK LINE RD
DAVENPORT, FL
33896-9112
Practice Phone: 321-677-0531
Practice Fax:
1841893963 — MANUSHKA NOELUS MSN, APRN, FNP - C
Practice Location Address:
7575 OSCEOLA POLK LINE RD
DAVENPORT, FL
33896-9112
Practice Phone: 321-677-0531
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 © 2007-2025 (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.