Cvs Pharmacy # 03603

LBN: Highland Park Cvs Llc
Cvs Pharmacy # 03603 is an health care organization with primary practice located at 16701 S Harlem Ave , Tinley Park IL 60477. 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) 444-4256, or through Colbert, Susan via phone (401) 770-2751.

Contact Information

Primary practice address
16701 S Harlem Ave Tinley Park IL 60477
Phone: (708) 444-4256
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Colbert, Susan
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 1770759185
LBN Legal business name Highland Park Cvs Llc
DBA Doing business as Cvs Pharmacy # 03603
Authorized official Colbert, Susan
Entity Organization
Organization subpart 1 No
Enumeration date May 6th, 2008
Last updated Oct 8th, 2014 - about 11 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 1770759185 NPPES
Illinois Other 1481934 NCPDP

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