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Holiday Cvs LLC — NPI 1114021078, Jasper, FL | NPI Central

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NPI 1114021078

OrganizationActive

Holiday Cvs LLC

NPI 1114021078 · Pharmacy · Jasper, FL

Provider details

NPI number: 1114021078
Entity type: Organization
Primary specialty: PharmacySuppliers
Organization subpart: No
Authorized official: Susan Colbert, Director Phcy Enrollments(401) 770-2751

Specialties & taxonomies

PharmacyPrimary333600000XLicense 20642 (FL)
Suppliers
Community/Retail Pharmacy3336C0003X
Suppliers

Practice location

100 2nd Ave Se

Jasper, FL 32052-6114

Phone: (386) 792-2551

Fax: (386) 792-3577

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 05169

Registry dates

Enumerated: 2006-09-12
Last updated: 2012-11-21

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