Cvs Pharmacy #18091
LBN: Highland Park Cvs, L.L.C.
Cvs Pharmacy #18091 is an health care organization with primary practice located at 1129 W Broadway , Centralia IL 62801-5353. The organization recently has 4 registered licenses in different health care specialties including Nursing Service Providers / Diabetes Educator, Ambulatory Health Care Facilities / Medical Specialty, 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 (618) 532-4993, or through Colbert, Susan F via phone (401) 770-2751.
Contact Information
Primary practice address
1129 W Broadway
Centralia IL 62801-5353
Phone: (618) 532-4993
Fax: (618) 532-1617
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Nursing Service Providers / Diabetes Educator | 163WD0400X | ||
| Ambulatory Health Care Facilities / Medical Specialty | 261QM2500X | ||
| Suppliers / Pharmacy | 333600000X | 05412056 | Illinois |
| Suppliers / Community/Retail Pharmacy | 3336C0003X |
Profile Details
| NPI number | 1548296890 |
|---|---|
| LBN Legal business name | Highland Park Cvs, L.L.C. |
| DBA Doing business as | Cvs Pharmacy #18091 |
| Authorized official | Colbert, Susan F |
| Entity | Organization |
| Organization subpart 1 | Yes |
| 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 | 1548296890 | NPPES |
| Illinois | MEDICAID | 430726776733 | |
| Illinois | Other | 1465889 |
Popular Providers
-
Bioscrip Pharmacy, Inc.
4940 Van Nuys Blvd Ste 104, Sherman Oaks CA 91403-1700 -
Bioscrip Pharmacy, Inc.
342 Massachusetts Ave Ste 103, Indianapolis IN 46204-2192 -
Princeton Drug
105 Broyles Dr , Johnson City TN 37601-2542 -
Highland Park Cvs, L.L.C.
225 N Poplar St , Centralia IL 62801-3234 -
Morton-Wuebbels Pharmacy Inc
817 E Mccord , Centralia IL 62801 -
Express Care Pharmacy Inc.
801 E Broadway Unit A, Glendale CA 91205-4528 -
Bioscrip Pharmacy, Inc.
197 8Th Ave , New York NY 10011-1605 -
Walmart Inc.
1212 W Mccord St , Centralia IL 62801-5648