Cvs/Pharmacy #4396

LBN: Highland Park Cvs, L.L.C.
Cvs/Pharmacy #4396 is an health care organization with primary practice located at 2648 Dempster St , Park Ridge IL 60068-8404. 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 (847) 298-2802, or through Mauricio, Cristiana via phone (401) 765-1500.

Contact Information

Primary practice address
2648 Dempster St Park Ridge IL 60068-8404
Phone: (847) 298-2802
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Mauricio, Cristiana
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 1790911436
LBN Legal business name Highland Park Cvs, L.L.C.
DBA Doing business as Cvs/Pharmacy #4396
Authorized official Mauricio, Cristiana
Entity Organization
Organization subpart 1 No
Enumeration date Jun 9th, 2009
Last updated Oct 14th, 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 1790911436 NPPES
Other 1483407 NCPDP#

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