Cvs Pharmacy #16362
LBN: Highland Park Cvs Llc
Cvs Pharmacy #16362 is an health care organization with primary practice located at 2102 N Prospect Ave , Champaign IL 61822-1231. 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 (217) 355-3345, or through Colbert, Susan via phone (401) 770-2751.
Contact Information
Primary practice address
2102 N Prospect Ave
Champaign IL 61822-1231
Phone: (217) 355-3345
Fax: (217) 355-3345
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Durable Medical Equipment & Medical Supplies | 332B00000X | ||
| Suppliers / Pharmacy | 333600000X | ||
| Suppliers / Community/Retail Pharmacy | 3336C0003X | 054.019762 | Illinois |
Profile Details
| NPI number | 1861414674 |
|---|---|
| LBN Legal business name | Highland Park Cvs Llc |
| DBA Doing business as | Cvs Pharmacy #16362 |
| Authorized official | Colbert, Susan |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jul 24th, 2006 |
| Last updated | Sep 23rd, 2016 - about 8 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1861414674 | NPPES |
| Other | 2023421 | PK |
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