HIGHLAND PARK CVS, L.L.C.

Community/Retail Pharmacy

A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes.

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Contact Information

HIGHLAND PARK CVS, L.L.C.

915 W MAIN ST
CARBONDALE, IL 62901-2330

Phone: 618-351-0710
Fax: 618-351-0602
Website:

Specialty	Taxonomy Code	Specialty Code	Provider Type
Community/Retail Pharmacy	3336C0003X	58	Medical Supply Company with Pharmacist
Diabetes Educator	163WD0400X
Durable Medical Equipment & Medical Supplies	332B00000X	54	Other Medical Supply Company
Medical Specialty	261QM2500X
Pharmacy	333600000X	58	Medical Supply Company with Pharmacist

Indicates primary specialty

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NPI Profile & details for HIGHLAND PARK CVS, L.L.C.

NPI Number 1366478612

LBN Legal business name HIGHLAND PARK CVS, L.L.C.

Authorized official SUSAN COLBERT - (SR, DIRECTOR, PAYER RELATIONS)

Entity Organization

Organization subpart ¹ No

Enumeration date 06/25/2006

Last updated 07/15/2020 - About 6 years ago

Identifiers

IL	License #	054013657
IL	Medicaid	430726776722
	Other	1467821	OTHER ID NUMBER-COMMERCIAL NUMBER

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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