Schnucks Pharmacy

LBN: Highland Park Cvs, L.L.C
Schnucks Pharmacy is an health care organization with primary practice located at 4800 N University St , Peoria IL 61614-5891. 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 (309) 690-3250, or through Colbert, Susan via phone (401) 770-2751.

Contact Information

Primary practice address
4800 N University St Peoria IL 61614-5891
Phone: (309) 690-3250
Fax: (309) 690-3251
Website:
Map and Directions
Authorized official contact:
Name: Colbert, Susan
Phone: (401) 770-2751

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Diabetes Educator 163WD0400X
Ambulatory Health Care Facilities / Medical Specialty 261QM2500X
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X 054014198 Illinois
Suppliers / Pharmacy 333600000X 054014198 Illinois
Suppliers / Community/Retail Pharmacy 3336C0003X

Profile Details

NPI number 1497790406
LBN Legal business name Highland Park Cvs, L.L.C
DBA Doing business as Schnucks Pharmacy
Authorized official Colbert, Susan
Entity Organization
Organization subpart 1 No
Enumeration date Jun 17th, 2006
Last updated Jun 26th, 2020 - about 5 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 1497790406 NPPES
Other 1470967 OTHER ID NUMBER-COMMERCIAL NUMBER
MEDICAID 430726776721 OTHER ID NUMBER-COMMERCIAL NUMBER

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