Cvs Pharmacy #18033

LBN: Highland Park Cvs, L.L.C.
Cvs Pharmacy #18033 is an health care organization with primary practice located at 1615 Camp Jackson Rd , Cahokia IL 62206-2539. The organization recently has 5 registered licenses in different health care specialties including Nursing Service Providers / Diabetes Educator, Ambulatory Health Care Facilities / Medical Specialty, Suppliers / Durable Medical Equipment & Medical Supplies, Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty. Highland Park Cvs, L.L.C. can be contacted via phone (618) 332-0676, or through Colbert, Susan via phone (401) 770-2751.

Contact Information

Primary practice address
1615 Camp Jackson Rd Cahokia IL 62206-2539
Phone: (618) 332-0676
Fax: (618) 332-0677
Website:
Map and Directions
Authorized official contact:
Name: Colbert, Susan
Phone: (401) 770-2751

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Diabetes Educator 163WD0400X
Ambulatory Health Care Facilities / Medical Specialty 261QM2500X
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X 054009103 Illinois
Suppliers / Pharmacy 333600000X 054009103 Illinois
Suppliers / Community/Retail Pharmacy 3336C0003X

Profile Details

NPI number 1558397802
LBN Legal business name Highland Park Cvs, L.L.C.
DBA Doing business as Cvs Pharmacy #18033
Authorized official Colbert, Susan
Entity Organization
Organization subpart 1 Yes
Enumeration date Jun 25th, 2006
Last updated Jul 15th, 2020 - about 6 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 1558397802 NPPES
Other 1453985 OTHER ID NUMBER-COMMERCIAL NUMBER
MEDICAID 430726776148 OTHER ID NUMBER-COMMERCIAL NUMBER

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