Cvs Pharmacy# 07020

LBN: Highland Park Cvs, L.L.C.
Cvs Pharmacy# 07020 is an health care organization with primary practice located at 1701 Fort Jesse Rd , Normal IL 61761-2285. 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 (309) 452-1370, or through Colbert, Susan via phone (401) 765-1500.

Contact Information

Primary practice address
1701 Fort Jesse Rd Normal IL 61761-2285
Phone: (309) 452-1370
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
Suppliers / Community/Retail Pharmacy 3336C0003X

Profile Details

NPI number 1558592949
LBN Legal business name Highland Park Cvs, L.L.C.
DBA Doing business as Cvs Pharmacy# 07020
Authorized official Colbert, Susan
Entity Organization
Organization subpart 1 No
Enumeration date Aug 3rd, 2009
Last updated Oct 15th, 2014 - about 10 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 1558592949 NPPES
Other 1483623 NCPDP

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