License Verification

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Holiday CVS, L.L.C.

CVS Pharmacy # 03655

License Number: PH20345

Data As Of 12/23/2024

Profession
Pharmacy
License
PH20345
License Status
CLEAR/
Qualifications
Community Pharmacy
Schedule II & III
License Expiration Date
2/28/2025
License Original Issue Date
07/30/2004
Address of Record
10201 HAMMOCKS BLVD #112
MIAMI, FL 33196
Discipline on File
No
Public Complaint
No

No secondary locations found.


Name Relationship Profession License Effective Date
AXEM, LAKEISHA WASHINGTON RX DPT MGR/COR/POR Pharmacist 37960 04/25/2023
CIMBRON, LINDA M Pharmacy Affiliate Pharmacy Affiliate 01/30/2012
DENALE, CAROL A Pharmacy Affiliate Pharmacy Affiliate 01/30/2012
HOLIDAY CVS, LLC Pharmacy Corporate Entity Pharmacy Administrator Account 01/30/2012
MOFFATT, THOMAS S Pharmacy Affiliate Pharmacy Affiliate 01/30/2012
NULMAN, MICHAEL B Pharmacy Affiliate Pharmacy Affiliate 01/30/2012
ST ANGELO, MELANIE K Pharmacy Affiliate Pharmacy Affiliate 01/30/2012

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Name Relationship Profession License Effective Date

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Name Relationship Profession License Effective Date

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No Continuing Education Hours Received from Approved Providers As Of 12/23/2024



* To find out more about Approved Providers, or ask a provider why the course you took is not yet listed, please visit our Continuing Education Providers page.


** Personal Development is limited to no more than 3 hours per renewal cycle. Any personal development hours in excess of this 3 hour maximum cannot be used for renewal and have been subtracted from the total available for renewal.


Please do not fax proof of Continuing Education hours to the Board Office until you have received your renewal notice in the mail.


For instructions on how to request a license certification of your Florida license to be sent to another state from the Florida Department of Health, please visit the License Certifications web page.