Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Holiday Cvs LLC

Organization Durable Medical Equipment & Medical Supplies · NPI 1205930161

Holiday Cvs LLC is a Durable Medical Equipment & Medical Supplies in Live Oak, Florida. Licensed in Florida. Registered with an NPI since 2006.

Licensed in
FL
In the registry since
2006
Specialties on file
3
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1005 Ohio Ave S
Live Oak, FL 32064-4129
Phone: (386) 362-5183
Fax: (386) 362-4887
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pharmacy (primary) Taxonomy 333600000X · Licence 20700 (FL)
Durable Medical Equipment & Medical Supplies Taxonomy 332B00000X (FL)
Community/Retail Pharmacy Taxonomy 3336C0003X

Record details

NPI number1205930161
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Susan Colbert — Director Phcy Enrollments · (401) 770-2751
Other names Cvs Pharmacy 05171
NPI enumeratedSeptember 12, 2006
Last updated in NPPESNovember 21, 2012
Mailing address1 Cvs Dr, Po Box 1075, Woonsocket, RI 02895-6146

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