HOLIDAY CVS, L.L.C.
NPI: 1073842621
· JACKSONVILLE, FL 32246
· Durable Medical Equipment & Medical Supplies
· NPI assigned 12/10/2009
$0.00
Total Medicaid Paid
Provider Details
| Authorized Official | COLBERT, SUE (DIRECTOR PAYER RELATIONS) |
| NPI Enumeration Date | 12/10/2009 |
Related Entities
Other providers sharing the same authorized official: COLBERT, SUE
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2021 |
49 |
$0.00 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 90686 |
|
21 |
19 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
28 |
25 |
$0.00 |