Cvs Pharmacy #10628
LBN: Highland Park Cvs, L.L.C.
Cvs Pharmacy #10628 is an health care organization with primary practice located at 177 W Virginia Street , 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) 444-4603, or through Colbert, Susan via phone (401) 765-1500.
Contact Information
Primary practice address
177 W Virginia Street
Crystal Lake IL 60014
Phone: (815) 444-4603
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Durable Medical Equipment & Medical Supplies | 332B00000X | Illinois | |
| Suppliers / Pharmacy | 333600000X | Illinois | |
| Suppliers / Community/Retail Pharmacy | 3336C0003X | Illinois |
Profile Details
| NPI number | 1306394051 |
|---|---|
| LBN Legal business name | Highland Park Cvs, L.L.C. |
| DBA Doing business as | Cvs Pharmacy #10628 |
| Authorized official | Colbert, Susan |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Sep 12th, 2016 |
| Last updated | Nov 2nd, 2016 - about 8 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1306394051 | NPPES |
| Illinois | Other | 1492761 | NCPDP |
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