Cvs Pharmacy #08655

LBN: Highland Park Cvs Llc
Cvs Pharmacy #08655 is an health care organization with primary practice located at 1004 Shooting Park Rd , Peru IL 61354-1871. 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 (815) 224-1411, or through Colbert, Susan F via phone (401) 770-2751.

Contact Information

Primary practice address
1004 Shooting Park Rd Peru IL 61354-1871
Phone: (815) 224-1411
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Colbert, Susan F
Phone: (401) 770-2751

Health care specialties

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

Profile Details

NPI number 1275574147
LBN Legal business name Highland Park Cvs Llc
DBA Doing business as Cvs Pharmacy #08655
Authorized official Colbert, Susan F
Entity Organization
Organization subpart 1 No
Enumeration date Jun 9th, 2006
Last updated Jan 19th, 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 1275574147 NPPES
Other 1479244 OTHER ID NUMBER-COMMERCIAL NUMBER

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