Cvs Pharmacy # 06935

LBN: Highland Park Cvs, L.L.C.
Cvs Pharmacy # 06935 is an health care organization with primary practice located at 804 B Eastwood Drive , Mahomet IL 61853. The organization recently has 3 registered licenses in different health care specialties including Suppliers / Durable Medical Equipment & Medical Supplies, Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy. Suppliers / Pharmacy is the primary health care specialty. Highland Park Cvs, L.L.C. can be contacted via phone (217) 586-2137, or through Colbert, Susan via phone (401) 765-1500.

Contact Information

Primary practice address
804 B Eastwood Drive Mahomet IL 61853
Phone: (217) 586-2137
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Colbert, Susan
Phone: (401) 765-1500

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X
Suppliers / Pharmacy 333600000X 054-011844 Illinois
Suppliers / Community/Retail Pharmacy 3336C0003X

Profile Details

NPI number 1285737957
LBN Legal business name Highland Park Cvs, L.L.C.
DBA Doing business as Cvs Pharmacy # 06935
Authorized official Colbert, Susan
Entity Organization
Organization subpart 1 No
Enumeration date Sep 7th, 2006
Last updated Mar 13th, 2012 - about 14 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1285737957 NPPES
Other 1462643 OTHER ID NUMBER-COMMERCIAL NUMBER

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