Cvs Pharmacy #16306

LBN: Highland Park Cvs Llc
Cvs Pharmacy #16306 is an health care organization with primary practice located at 5071 Cal Sag Rd , Crestwood IL 60445-1458. 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 Llc can be contacted via phone (708) 385-3199, or through Colbert, Susan via phone (401) 770-2751.

Contact Information

Primary practice address
5071 Cal Sag Rd Crestwood IL 60445-1458
Fax: (708) 297-9953
Website:
Authorized official contact:
Name: Colbert, Susan

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X 054.019717 Illinois

Profile Details

NPI number 1124041405
LBN Legal business name Highland Park Cvs Llc
DBA Doing business as Cvs Pharmacy #16306
Authorized official Colbert, Susan
Entity Organization
Organization subpart 1 No
Enumeration date Jul 26th, 2006
Last updated Aug 29th, 2016 - about 8 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 1124041405 NPPES
Other 2022216 PK

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