HOLIDAY CVS LLC
NPI: 1902900806
· LAKELAND, FL 33809
· Community/Retail Pharmacy
· NPI assigned 09/12/2006
$0.00
Total Medicaid Paid
Provider Details
| Authorized Official | COLBERT, SUE (DIRECTOR, MANAGED CARE) |
| NPI Enumeration Date | 09/12/2006 |
Related Entities
Other providers sharing the same authorized official: COLBERT, SUE
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2024 |
39 |
$0.00 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| G0008 |
Administration of influenza virus vaccine |
23 |
16 |
$0.00 |
| 90662 |
|
16 |
14 |
$0.00 |