Holiday Cvs Llc in St Petersburg - Community/retail Pharmacy
Holiday Cvs Llc - NPI 1649374554
Holiday Cvs Llc is a Community/retail Pharmacy in St Petersburg, Florida. Holiday Cvs Llc practices all healthcare services and medical treatments related to Community/retail Pharmacy. The NPI Number for Holiday Cvs Llc is 1649374554. The last update date is 2010-03-10.
Holiday Cvs Llc's current location address is 3501 54th Ave S, St Petersburg, Florida. You can contact this provider via phone number 7278641546 and fax number 7278649800. The mailing address for Holiday Cvs Llc is 3501 54th Ave S, St Petersburg, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Holiday Cvs Llc |
|---|---|
| Address | 3501 54th Ave S, St Petersburg, Florida |
| Phone Number | 7278641546 |
| Fax Number | 7278649800 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | DIRECTOR P |
|---|---|
| Authorized Official Name | Colbert F Susan |
| Telephone Number | 4017702751 |
NPI Number Detail
| NPI Number | 1649374554 |
|---|---|
| Provider Enumeration Date | 2006-09-12 |
| Last Updated Date | 2010-03-10 |
Provider Mailing Address Detail
| Address | 3501 54th Ave S |
|---|---|
| City | St Petersburg |
| State | Florida (FL) |
| Post Code | 337114541 |
| Phone Number | 7278641546 |
| Fax Number | 7278649800 |
Provider's Primary Taxonomy Detail
| Speciality | Community/retail Pharmacy |
|---|---|
| Taxonomy | 3336C0003X |
|
Definition: A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing pr |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 105598400 | FL | -- | |
| 1049471 | OTHER ID NUMBER-COMMERCIAL NUM |
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Where is the Holiday Cvs Llc located?
The Holiday Cvs Llc is located at 3501 54Th Ave S, St Petersburg, FL 337114541.
What is the Holiday Cvs Llc's specialty and taxonomy code?
The Holiday Cvs Llc's specialty is Community/retail Pharmacy, and the corresponding taxonomy code is 3336C0003X.
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 Community/retail Pharmacy, and the corresponding taxonomy code that categorizes this area of expertise is 3336C0003X.
When was the Holiday Cvs Llc's 1649374554 issued?
The Holiday Cvs Llc's 1649374554 was issued on 2006-09-12.
On what date did the Centers for Medicare & Medicaid Services issue the 1649374554 to Holiday Cvs Llc?
The Holiday Cvs Llc received its 1649374554 assignment from the Centers for Medicare & Medicaid Services on 2006-09-12.
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