Cvs Pharmacy #07788

LBN: Highland Park Cvs Llc
Cvs Pharmacy #07788 is an health care organization with primary practice located at 2075 S Lake St , Mundelein IL 60060-4232. 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 (847) 566-6347, or through Colbert, Susan F via phone (401) 770-2751.

Contact Information

Primary practice address
2075 S Lake St Mundelein IL 60060-4232
Phone: (847) 566-6347
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Colbert, Susan F
Phone: (401) 770-2751

Health care specialties

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

Profile Details

NPI number 1194028761
LBN Legal business name Highland Park Cvs Llc
DBA Doing business as Cvs Pharmacy #07788
Authorized official Colbert, Susan F
Entity Organization
Organization subpart 1 No
Enumeration date Dec 21st, 2010
Last updated Mar 8th, 2012 - about 12 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 1194028761 NPPES
Illinois Other 1485285 NCPDP

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