Schnucks Pharmacy
LBN: Highland Park Cvs, L.L.C.
Schnucks Pharmacy is an health care organization with primary practice located at 109 N Mattis Ave , Champaign IL 61821-3059. 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 (217) 351-8497, or through Colbert, Susan F via phone (401) 770-2751.
Contact Information
Primary practice address
109 N Mattis Ave
Champaign IL 61821-3059
Phone: (217) 351-8497
Fax: (217) 351-8056
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Nursing Service Providers / Diabetes Educator | 163WD0400X | ||
| Ambulatory Health Care Facilities / Medical Specialty | 261QM2500X | ||
| Suppliers / Durable Medical Equipment & Medical Supplies | 332B00000X | 054001003 | Illinois |
| Suppliers / Pharmacy | 333600000X | 054001003 | Illinois |
| Suppliers / Community/Retail Pharmacy | 3336C0003X |
Profile Details
| NPI number | 1376579623 |
|---|---|
| LBN Legal business name | Highland Park Cvs, L.L.C. |
| DBA Doing business as | Schnucks Pharmacy |
| Authorized official | Colbert, Susan F |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jun 25th, 2006 |
| Last updated | Jul 14th, 2020 - about 4 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 | 1376579623 | NPPES |
| Illinois | MEDICAID | 430726776707 | |
| Illinois | Other | 1459634 |
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