HOLIDAY CVS LLC
NPI: 1255435111
· KISSIMMEE, FL 34743
· Community/Retail Pharmacy
· NPI assigned 09/12/2006
$0.00
Total Medicaid Paid
Provider Details
| Authorized Official | WOOD, SUSAN (DIRECTOR PHCY ENROLLMENTS) |
| NPI Enumeration Date | 09/12/2006 |
Related Entities
Other providers sharing the same authorized official: WOOD, SUSAN
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2021 |
171 |
$0.00 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 0001A |
|
37 |
35 |
$0.00 |
| 0004A |
|
79 |
73 |
$0.00 |
| 0002A |
|
55 |
51 |
$0.00 |