Whalio Doctors

NPI 1053415919

Holiday Cvs LLC

Organisation Pharmacy Lady Lake, FL

Practice location

Address
860 Avenida Central, Lady Lake, FL 32159-7701
Phone
(352) 750-1118
Fax
(352) 753-8890
Mailing address
1 Cvs Dr PO Box 1075, Woonsocket, RI 02895-6146

Authorised official

Name
Susan F Colbert
Title
Director Phcy Enrollments
Phone
(401) 770-2751

Registered specialties (2)

Pharmacy Primary
Suppliers Taxonomy 333600000X Licence 20586 (FL)
Community/Retail Pharmacy
Suppliers Taxonomy 3336C0003X

Registry record

NPI
1053415919
Entity type
Organization
NPI issued
12 Sep 2006
Record last updated
17 Jan 2023

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.