Cvs Pharmacy #08632

LBN: Highland Park Cvs Llc
Cvs Pharmacy #08632 is an health care organization with primary practice located at 1595 E Cantrell St , Decatur IL 62521-3515. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy. Suppliers / Pharmacy is the primary health care specialty. Highland Park Cvs Llc can be contacted via phone (217) 429-4248, or through Mauricio, Cristiana via phone (401) 770-2937.

Contact Information

Primary practice address
1595 E Cantrell St Decatur IL 62521-3515
Phone: (217) 429-4248
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Mauricio, Cristiana
Phone: (401) 770-2937

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X

Profile Details

NPI number 1154363349
LBN Legal business name Highland Park Cvs Llc
DBA Doing business as Cvs Pharmacy #08632
Authorized official Mauricio, Cristiana
Entity Organization
Organization subpart 1 No
Enumeration date Jun 12th, 2006
Last updated Oct 17th, 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 1154363349 NPPES
Other 1479129 OTHER ID NUMBER-COMMERCIAL NUMBER

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