Cvs Pharmacy # 08742

LBN: Highland Park Cvs Llc
Cvs Pharmacy # 08742 is an health care organization with primary practice located at 5524 W Cermak Rd , Cicero IL 60804-2217. 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 (708) 656-0306, or through Colbert, Susan via phone (401) 770-2751.

Contact Information

Primary practice address
5524 W Cermak Rd Cicero IL 60804-2217
Phone: (708) 656-0306
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Colbert, Susan
Phone: (401) 770-2751

Health care specialties

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

Profile Details

NPI number 1871534743
LBN Legal business name Highland Park Cvs Llc
DBA Doing business as Cvs Pharmacy # 08742
Authorized official Colbert, Susan
Entity Organization
Organization subpart 1 No
Enumeration date Jun 9th, 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 1871534743 NPPES
Other 1479484 OTHER ID NUMBER-COMMERCIAL NUMBER

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