Cvs Pharmacy #10599

LBN: Highland Park Cvs, L.L.C.
Cvs Pharmacy #10599 is an health care organization with primary practice located at 245 S Broadway Street , Coal City IL 60416. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Durable Medical Equipment & Medical Supplies, 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 (815) 634-0455, or through Colbert, Susan via phone (401) 770-2751.

Contact Information

Primary practice address
245 S Broadway Street Coal City IL 60416
Phone: (815) 634-0455
Fax: (815) 634-4328
Website:
Map and Directions
Authorized official contact:
Name: Colbert, Susan
Phone: (401) 770-2751

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X 203000679 Illinois
Suppliers / Community/Retail Pharmacy 3336C0003X 054-008392 Illinois

Profile Details

NPI number 1518042688
LBN Legal business name Highland Park Cvs, L.L.C.
DBA Doing business as Cvs Pharmacy #10599
Authorized official Colbert, Susan
Entity Organization
Organization subpart 1 No
Enumeration date Oct 26th, 2006
Last updated Jan 18th, 2018 - about 6 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 1518042688 NPPES
Illinois Other 054-008392 PHARMACY LIC
Illinois MEDICAID 363484164014 PHARMACY LIC

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