Holiday Cvs Llc is a Pharmacy in Jacksonville, Florida. Holiday Cvs Llc practices all healthcare services and medical treatments related to Pharmacy. The NPI Number for Holiday Cvs Llc is 1740384619. The last update date is 2011-09-26.
Holiday Cvs Llc's current location address is 4280 Southside Blvd, Jacksonville, Florida. You can contact this provider via phone number 9049983677 and fax number 9049981553. The mailing address for Holiday Cvs Llc is 4280 Southside Blvd, Jacksonville, Florida. To know further, please read the information below!
Provider Profile Detail
Provider Organization | Holiday Cvs Llc |
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Address | 4280 Southside Blvd, Jacksonville, Florida |
Phone Number | 9049983677 |
Fax Number | 9049981553 |
Sole Proprietor | -- |
Credentials | -- |
Authorized Official
Title or Position | DIRECTOR P |
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Authorized Official Name | Colbert F Susan |
Telephone Number | 4017702751 |
NPI Number Detail
NPI Number | 1740384619 |
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Provider Enumeration Date | 2006-09-12 |
Last Updated Date | 2011-09-26 |
Provider Mailing Address Detail
Address | 4280 Southside Blvd |
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City | Jacksonville |
State | Florida (FL) |
Post Code | 322165400 |
Phone Number | 9049983677 |
Fax Number | 9049981553 |
Provider's Primary Taxonomy Detail
Speciality | Pharmacy |
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Taxonomy | 333600000X |
Licence No | 20196 |
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 |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
---|---|---|---|
106268900 | FL | -- | |
1082077 | OTHER ID NUMBER-COMMERCIAL NUM |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Holiday Cvs Llc by the Centers for Medicare & Medicaid Services?
The Holiday Cvs Llc has been issued the NPI (National Provider Identifier) 1740384619, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Can you provide the Holiday Cvs Llc's physical address?
The Holiday Cvs Llc is physically located at 4280 Southside Blvd, in the city of Jacksonville, FL, with the postal code 322165400.
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.
On what date did the Centers for Medicare & Medicaid Services issue the 1740384619 to Holiday Cvs Llc?
The Holiday Cvs Llc received its 1740384619 assignment from the Centers for Medicare & Medicaid Services on 2006-09-12.
When was the information regarding Holiday Cvs Llc most recently updated?
The details pertaining to the Holiday Cvs Llc, including its address, specialty, and other relevant information, were last refreshed on 2011-09-26.
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