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Holiday Cvs LLC — NPI 1053415919, Lady Lake, FL | NPI Central

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NPI 1053415919

OrganizationActive

Holiday Cvs LLC

NPI 1053415919 · Pharmacy · Lady Lake, FL

Provider details

NPI number: 1053415919
Entity type: Organization
Primary specialty: PharmacySuppliers
Organization subpart: No
Authorized official: Susan Colbert, Director Phcy Enrollments(401) 770-2751

Specialties & taxonomies

PharmacyPrimary333600000XLicense 20586 (FL)
Suppliers
Community/Retail Pharmacy3336C0003X
Suppliers

Practice location

860 Avenida Central

Lady Lake, FL 32159-7701

Phone: (352) 750-1118

Fax: (352) 753-8890

Approximate (ZIP-level) locationGet directions

More FL providers

Mailing address

1 Cvs Dr

Woonsocket, RI 02895-6146

Other names (DBA / former)

Doing business as: Cvs Pharmacy 05120
Doing business as: Cvs Pharmacy 05120

Registry dates

Enumerated: 2006-09-12
Last updated: 2023-01-17
Certified: 2023-01-17

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.