Organization Name: | HOLIDAY CVS, L.L.C. |
NPI Number: | 1639407596 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | SUE COLBERT (DIRECTOR, MANAGED CARE) |
Mailing Address: | 4478 Tamiami Trl Port Charlotte |
State: | FL US |
Postal Code: | 339802931 |
Phone Number: | 9412351120 |
Fax Number: | |
NPI Enumeration Date: | 12/03/2009 |
NPI Last Update Date: | 03/16/2012 |
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 |