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Holiday Cvs Llc
Community/Retail Pharmacy in St Augustine, Florida
NPI 1265536163

Holiday Cvs Llc is a Community/Retail Pharmacy based in Woonsocket, FL and is specialized in Community/Retail Pharmacy. Holiday Cvs Llc practices in St Augustine, FL. The NPI Number for Holiday Cvs Llc is 1265536163 and holds a License No. (Florida).

The current practice location address for Holiday Cvs Llc is 2703 N Ponce De Leon Blvd, St Augustine, FL and can be reached out via phone at 904-824-2838 and via fax at 904-829-3457.

Location: 2703 N Ponce De Leon Blvd, St Augustine, FL, 02895-6146
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1265536163
Provider Name
Holiday Cvs Llc
Credential
Provider Entity Type
Organization
Address
2703 N Ponce De Leon Blvd, St Augustine, FL, 02895-6146
Phone Number
904-824-2838
Fax Number
904-829-3457
Provider Enumeration Date
09/12/2006
Last Update Date
03/12/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
105649200 05 FL
1043619 01 OTHER ID NUMBER-COMMERCIAL NUMBER
institution
Provider Business Practice Location Address Details
Address
2703 N Ponce De Leon Blvd
City
St Augustine
State
Florida
Zip
32084-2603
Phone Number
904-824-2838
Fax Number
904-829-3457
person
Provider Business Mailing Address Details
Address
2703 N Ponce De Leon Blvd
City
St Augustine
State
Florida
Zip
32084-2603
Phone Number
904-824-2838
Fax Number
904-829-3457
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Durable Medical Equipment & Medical Supplies
Speciality
-
Taxonomy
332B00000X
License No.
()
Definition
A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time.
person
Provider's Taxonomy Details 2
Type
Suppliers
Classification
Pharmacy
Speciality
-
Taxonomy
333600000X
License No.
20297 (Florida)
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 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 located.
person
Provider's Taxonomy Details 3
Type
Suppliers
Classification
Pharmacy
Speciality
Community/Retail Pharmacy
Taxonomy
3336C0003X
License No.
()
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 process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes.
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