Organization Name: | HOLIDAY CVS, L.L.C. |
NPI Number: | 1013247873 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | SUSAN F COLBERT (DIRECTOR PAYER RELATIONS) |
Mailing Address: | 8831 Immokalee Rd Naples |
State: | FL US |
Postal Code: | 34120 |
Phone Number: | 2393042360 |
Fax Number: | |
NPI Enumeration Date: | 12/30/2009 |
NPI Last Update Date: | 11/03/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 332B00000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | |
Taxonomy Type: | Suppliers |
Taxonomy Classification: | Durable Medical Equipment & Medical Supplies |
Taxonomy Specialization: | |
Taxonomy 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 |