Holiday Cvs Llc in St Augustine - Community/retail Pharmacy
Holiday Cvs Llc - NPI 1801990791
Holiday Cvs Llc is a Community/retail Pharmacy in St Augustine, Florida. Holiday Cvs Llc practices all healthcare services and medical treatments related to Community/retail Pharmacy. The NPI Number for Holiday Cvs Llc is 1801990791. The last update date is 2012-09-24.
Holiday Cvs Llc's current location address is 175 State Road 312 W, St Augustine, Florida. You can contact this provider via phone number 9048246167 and fax number 9048242015. The mailing address for Holiday Cvs Llc is 175 State Road 312 W, St Augustine, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Holiday Cvs Llc |
|---|---|
| Address | 175 State Road 312 W, St Augustine, Florida |
| Phone Number | 9048246167 |
| Fax Number | 9048242015 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | DIRECTOR P |
|---|---|
| Authorized Official Name | Colbert F Susan |
| Telephone Number | 4017702937 |
NPI Number Detail
| NPI Number | 1801990791 |
|---|---|
| Provider Enumeration Date | 2006-09-12 |
| Last Updated Date | 2012-09-24 |
Provider Mailing Address Detail
| Address | 175 State Road 312 W |
|---|---|
| City | St Augustine |
| State | Florida (FL) |
| Post Code | 320864201 |
| Phone Number | 9048246167 |
| Fax Number | 9048242015 |
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 |
|---|---|---|---|
| 105572100 | FL | -- | |
| 1032402 | OTHER ID NUMBER-COMMERCIAL NUM |
Post Comment/ Review Below
What is the unique 10-digit 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) 1801990791 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you share the physical location details of Holiday Cvs Llc?
The Holiday Cvs Llc is situated at 175 State Road 312 W, in the city of St Augustine, state of FL, with the zip code 320864201.
What is Holiday Cvs Llc's area of expertise and its corresponding taxonomy classification?
The Holiday Cvs Llc's field of specialization is Community/retail Pharmacy, and it falls under the taxonomy code 3336C0003X, which categorizes healthcare providers based on their areas of practice.
On what date did Holiday Cvs Llc receive its 1801990791 assignment from the Centers for Medicare & Medicaid Services?
The Holiday Cvs Llc was assigned its 1801990791 on 2006-09-12, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the Holiday Cvs Llc's details last updated?
The information pertaining to the Holiday Cvs Llc, including its address, specialty, and other details, was most recently updated on 2012-09-24.
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