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

Holiday Cvs LLC

Organization Pharmacy · NPI 1396849253

Holiday Cvs LLC is a Pharmacy in Lake Butler, Florida. Licensed in Florida. Registered with an NPI since 2006.

Licensed in
FL
In the registry since
2006
Specialties on file
2
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

900 E Main St
Lake Butler, FL 32054-1360
Phone: (386) 496-1685
Fax: (386) 496-0753
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pharmacy (primary) Taxonomy 333600000X · Licence 20641 (FL)
Community/Retail Pharmacy Taxonomy 3336C0003X

Record details

NPI number1396849253
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Susan Colbert — Director . Phcy Enrollments · (401) 770-2751
Other names Cvs Pharmacy 05172
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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