<Unavail>

LBN: Highland Park Cvs, L.L.C.
<Unavail> is an health care organization with primary practice located at 1305 Randall Road , Crystal Lake IL 60014. 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 (815) 356-0386, or through Ryan, Thomas via phone (401) 765-1500.

Contact Information

Primary practice address
1305 Randall Road Crystal Lake IL 60014
Phone: (815) 356-0386
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Ryan, Thomas
Phone: (401) 765-1500

Health care specialties

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

Profile Details

NPI number 1508087719
LBN Legal business name Highland Park Cvs, L.L.C.
DBA Doing business as <Unavail>
Authorized official Ryan, Thomas
Entity Organization
Organization subpart 1 No
Enumeration date May 2nd, 2007
Last updated Oct 8th, 2014 - about 12 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 1508087719 NPPES
Other P00754411 MEDICARE RR

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