Cvs Pharmacy 6370

LBN: Highland Park Cvs, L.L.C.
Cvs Pharmacy 6370 is an health care organization with primary practice located at 2700 Broadway St , Mount Vernon IL 62864-2342. 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 (618) 242-2074, or through Colbert, Susan via phone (401) 765-1500.

Contact Information

Primary practice address
2700 Broadway St Mount Vernon IL 62864-2342
Phone: (618) 242-2074
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
Suppliers / Pharmacy 333600000X 054-011663 Illinois
Suppliers / Community/Retail Pharmacy 3336C0003X

Profile Details

NPI number 1467555235
LBN Legal business name Highland Park Cvs, L.L.C.
DBA Doing business as Cvs Pharmacy 6370
Authorized official Colbert, Susan
Entity Organization
Organization subpart 1 No
Enumeration date Sep 7th, 2006
Last updated Mar 12th, 2012 - about 12 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 1467555235 NPPES
Other 1404499 OTHER ID NUMBER-COMMERCIAL NUMBER

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