Holiday Cvs Llc in Jacksonville - Pharmacy

Holiday Cvs Llc - NPI 1740384619

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
Address 4280 Southside Blvd, Jacksonville, Florida
Phone Number 9049983677
Fax Number 9049981553
Sole Proprietor --
Credentials --

Authorized Official

Title or Position DIRECTOR P
Authorized Official Name Colbert F Susan
Telephone Number 4017702751

NPI Number Detail

NPI Number 1740384619
Provider Enumeration Date 2006-09-12
Last Updated Date 2011-09-26

Provider Mailing Address Detail

Address 4280 Southside Blvd
City Jacksonville
State Florida (FL)
Post Code 322165400
Phone Number 9049983677
Fax Number 9049981553

Provider's Primary Taxonomy Detail

Speciality Pharmacy
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

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FAQs about Holiday Cvs Llc

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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