Cvs Pharmacy # 484

LBN: Highland Park Cvs Llc
Cvs Pharmacy # 484 is an health care organization with primary practice located at 2250 41St St , Moline IL 61265. 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 (309) 736-7182, or through Mauricio, Cristiana via phone (401) 765-1500.

Contact Information

Primary practice address
2250 41St St Moline IL 61265
Phone: (309) 736-7182
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 1144488750
LBN Legal business name Highland Park Cvs Llc
DBA Doing business as Cvs Pharmacy # 484
Authorized official Mauricio, Cristiana
Entity Organization
Organization subpart 1 No
Enumeration date May 30th, 2008
Last updated Jan 10th, 2023 - about last year

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 1144488750 NPPES
Illinois Other 1482013 NCPDP

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