Highland Park Cvs, L.L.C.

LBN: Highland Park Cvs, L.L.C.
Highland Park Cvs, L.L.C. is an health care organization with primary practice located at 47 S. Locust Street , Manteno IL 60950. 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) 468-0190, or through Colbert, Susan via phone (401) 770-2751.

Contact Information

Primary practice address
47 S. Locust Street Manteno IL 60950
Phone: (815) 468-0190
Fax: (815) 468-0165
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 203000673 Illinois
Suppliers / Community/Retail Pharmacy 3336C0003X 054-013255 Illinois

Profile Details

NPI number 1699850685
LBN Legal business name Highland Park Cvs, L.L.C.
DBA Doing business as
Authorized official Colbert, Susan
Entity Organization
Organization subpart 1 No
Enumeration date Oct 26th, 2006
Last updated Jul 21st, 2022 - about 3 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1699850685 NPPES
Illinois MEDICAID 363484164007
Illinois Other 14-67124
Illinois Other 054-013255

Popular Providers