Cvs Pharmacy #10774

LBN: Highland Park Cvs Llc
Cvs Pharmacy #10774 is an health care organization with primary practice located at 506 E Main St , Staunton IL 62088-1561. 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 Llc can be contacted via phone (618) 635-2538, or through Colbert, Susan via phone (401) 765-1500.

Contact Information

Primary practice address
506 E Main St Staunton IL 62088-1561
Phone: (618) 635-2538
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 Illinois
Suppliers / Pharmacy 333600000X Illinois
Suppliers / Community/Retail Pharmacy 3336C0003X Illinois

Profile Details

NPI number 1750758496
LBN Legal business name Highland Park Cvs Llc
DBA Doing business as Cvs Pharmacy #10774
Authorized official Colbert, Susan
Entity Organization
Organization subpart 1 No
Enumeration date Aug 28th, 2015
Last updated Jan 19th, 2023 - about 2 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 1750758496 NPPES
Illinois Other 1490971 NCPDP
Illinois MEDICAID 7215386 NCPDP

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