Holiday Cvs Llc is a Pharmacy in Kissimmee, Florida. Holiday Cvs Llc practices all healthcare services and medical treatments related to Pharmacy. The NPI Number for Holiday Cvs Llc is 1720182629. The last update date is 2012-03-14.
Holiday Cvs Llc's current location address is 1300 E Vine St, Kissimmee, Florida. You can contact this provider via phone number 4078467858 and fax number 4078467161. The mailing address for Holiday Cvs Llc is 1300 E Vine St, Kissimmee, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Holiday Cvs Llc |
|---|---|
| Address | 1300 E Vine St, Kissimmee, Florida |
| Phone Number | 4078467858 |
| Fax Number | 4078467161 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | DIRECTOR P |
|---|---|
| Authorized Official Name | Colbert Susan |
| Telephone Number | 4017702751 |
NPI Number Detail
| NPI Number | 1720182629 |
|---|---|
| Provider Enumeration Date | 2006-09-12 |
| Last Updated Date | 2012-03-14 |
Provider Mailing Address Detail
| Address | 1300 E Vine St |
|---|---|
| City | Kissimmee |
| State | Florida (FL) |
| Post Code | 347443620 |
| Phone Number | 4078467858 |
| Fax Number | 4078467161 |
Provider's Primary Taxonomy Detail
| Speciality | Pharmacy |
|---|---|
| Taxonomy | 333600000X |
| Licence No | 20341 |
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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 |
|---|---|---|---|
| 105858400 | FL | -- | |
| 1040776 | OTHER ID NUMBER-COMMERCIAL NUM |
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What is the unique 10-digit identification 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) 1720182629 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you please provide the complete physical location address of Holiday Cvs Llc?
The Holiday Cvs Llc is physically situated at 1300 E Vine St, in the city of Kissimmee, state of FL, with the postal code 347443620.
What is the Holiday Cvs Llc's area of specialization and corresponding taxonomy classification?
The Holiday Cvs Llc's specialty field is Pharmacy, and it falls under the taxonomy code 333600000X, which categorizes healthcare providers based on their specialties.
On what date did the Holiday Cvs Llc receive the assignment of its 1720182629 from the Centers for Medicare & Medicaid Services?
The Holiday Cvs Llc was issued its 1720182629 by the Centers for Medicare & Medicaid Services on 2006-09-12.
As of what date were the details related to Holiday Cvs Llc most recently updated or revised?
The information pertaining to Holiday Cvs Llc, including its address, specialty, and other relevant details, was last updated or revised on 2012-03-14.
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