Holiday Cvs Llc is a Pharmacy in Lake Wales, Florida. Holiday Cvs Llc practices all healthcare services and medical treatments related to Pharmacy. The NPI Number for Holiday Cvs Llc is 1164526141. The last update date is 2023-01-10.
Holiday Cvs Llc's current location address is 500 S 11th St, Lake Wales, Florida. You can contact this provider via phone number 8636762564 and fax number 8636781353. The mailing address for Holiday Cvs Llc is 500 S 11th St, Lake Wales, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Holiday Cvs Llc |
|---|---|
| Address | 500 S 11th St, Lake Wales, Florida |
| Phone Number | 8636762564 |
| Fax Number | 8636781353 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | DIRECTOR |
|---|---|
| Authorized Official Name | Colbert F Susan |
| Telephone Number | 4017702751 |
NPI Number Detail
| NPI Number | 1164526141 |
|---|---|
| Provider Enumeration Date | 2006-09-12 |
| Last Updated Date | 2023-01-10 |
Provider Mailing Address Detail
| Address | 500 S 11th St |
|---|---|
| City | Lake Wales |
| State | Florida (FL) |
| Post Code | 338534901 |
| Phone Number | 8636762564 |
| Fax Number | 8636781353 |
Provider's Primary Taxonomy Detail
| Speciality | Pharmacy |
|---|---|
| Taxonomy | 333600000X |
| Licence No | 20675 |
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Definition: 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 presc |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1004530 | OTHER ID NUMBER-COMMERCIAL NUM | ||
| 105631000 | FL | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Holiday Cvs Llc by the Centers for Medicare & Medicaid Services?
The Holiday Cvs Llc has been assigned the NPI (National Provider Identifier) 1164526141. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical address where Holiday Cvs Llc is geographically located?
The Holiday Cvs Llc is physically situated at the following location: 500 S 11Th St, Lake Wales, FL, 338534901.
What is the area of specialization for Holiday Cvs Llc, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Holiday Cvs Llc is Pharmacy, and the corresponding taxonomy code that categorizes this area of expertise is 333600000X.
When did Holiday Cvs Llc receive its 1164526141 assignment?
The Holiday Cvs Llc was assigned its 1164526141 on 2006-09-12, which is the date when this unique identifier was issued to the organization.
When was the information regarding Holiday Cvs Llc, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Holiday Cvs Llc, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2023-01-10.
NPI Number: 1235132838
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