HOLIDAY CVS LLC
NPI: 1528162419
· IMMOKALEE, FL 34142
· Community/Retail Pharmacy
· NPI assigned 09/12/2006
Billing Flags
· Automated signals — not evidence of fraud
Entity Proliferation
Authorized official COLBERT, SUSAN controls 20+ related entities in our dataset. Read more
$284.65
Total Medicaid Paid
Provider Details
| Authorized Official | COLBERT, SUSAN (DIRECTOR) |
| NPI Enumeration Date | 09/12/2006 |
Related Entities
Other providers sharing the same authorized official: COLBERT, SUSAN
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
| 2018 |
29 |
$284.65 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
| A4253 |
Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips |
29 |
28 |
$284.65 |