Organization · Type 2 NPI

Holiday CVS LLC

Pharmacy · Melbourne, FL

NPI number 1205692035 Active

Practice location

5447 Onate Ln
Melbourne, FL 32940-5436

Call (321) 426-2166 Map

Fax (401) 735-1080

Mailing address

1 Cvs Dr, Box 1075
Woonsocket, RI 02895-6146

Specialties and licenses

Taxonomy	Code	License
Durable Medical Equipment & Medical Supplies	332B00000X	None listed
Pharmacy Primary	333600000X	None listed
Community/Retail Pharmacy	3336C0003X	None listed

Pharmacy: 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 prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is lo…

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NPI record

NPI: 1205692035
Entity type: Organization (Type 2)
Issued: Feb 28, 2024
Last updated: May 9, 2024
Status: Active

Other names

<unavail>
CVS Pharmacy #11516 · doing business as
CVS Pharmacy #11516 · doing business as

Authorized official

Susan F Colbert
SR Director Payer Relations
(800) 746-7287

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1205692035

Holiday CVS LLC's National Provider Identifier is 1205692035, issued on Feb 28, 2024. The primary taxonomy on file is Pharmacy (333600000X), and the practice location is in Melbourne, FL. The record was last updated on May 9, 2024.