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
Fax:
Website:
Authorized official contact:
Name: Colbert, Susan

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 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1306394051 NPPES
Illinois Other 1492761 NCPDP

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