Cvs Pharmacy #18066
LBN: Highland Park Cvs, L.L.C.
Cvs Pharmacy #18066 is an health care organization with primary practice located at 2712 Godfrey Rd , Godfrey IL 62035-3311. The organization recently has 4 registered licenses in different health care specialties including 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 (618) 466-0825, or through Colbert, Susan F via phone (401) 770-2751.
Contact Information
Primary practice address
2712 Godfrey Rd
Godfrey IL 62035-3311
Phone: (618) 466-0825
Fax: (618) 467-0544
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Ambulatory Health Care Facilities / Medical Specialty | 261QM2500X | ||
| Suppliers / Durable Medical Equipment & Medical Supplies | 332B00000X | 05412051 | Illinois |
| Suppliers / Pharmacy | 333600000X | 05412051 | Illinois |
| Suppliers / Community/Retail Pharmacy | 3336C0003X |
Profile Details
| NPI number | 1720014079 |
|---|---|
| LBN Legal business name | Highland Park Cvs, L.L.C. |
| DBA Doing business as | Cvs Pharmacy #18066 |
| Authorized official | Colbert, Susan F |
| Entity | Organization |
| Organization subpart 1 | Yes |
| Enumeration date | Jun 25th, 2006 |
| Last updated | Jul 15th, 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 | 1720014079 | NPPES |
| Other | 1465853 | OTHER ID NUMBER-COMMERCIAL NUMBER | |
| MEDICAID | 430726776269 | OTHER ID NUMBER-COMMERCIAL NUMBER |
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