<Unavail>

LBN: Highland Park Cvs Llc
<Unavail> is an health care organization with primary practice located at 900 42Nd Avenue Dr , Moline IL 61265-6871. 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 (309) 764-7518, or through Colbert, Susan via phone (401) 770-2751.

Contact Information

Primary practice address
900 42Nd Avenue Dr Moline IL 61265-6871
Phone: (309) 764-7518
Fax: (309) 764-7518
Website:
Map and Directions
Authorized official contact:
Name: Colbert, Susan
Phone: (401) 770-2751

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X 054.019715 Illinois

Profile Details

NPI number 1952323768
LBN Legal business name Highland Park Cvs Llc
DBA Doing business as <Unavail>
Authorized official Colbert, Susan
Entity Organization
Organization subpart 1 No
Enumeration date Jul 24th, 2006
Last updated Sep 23rd, 2016 - about 10 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 1952323768 NPPES
Other 2023420 PK

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