National Provider Identifier Database

HIGHLAND PARK CVS LLC
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.


Contact Information

HIGHLAND PARK CVS LLC
720 S CRESCENT
GILMAN, IL60938
Phone: 815-265-4730
Fax: 815-265-4740
Website:
Specialty Taxonomy Code
* Community/Retail Pharmacy 3336C0003X
Durable Medical Equipment & Medical Supplies 332B00000X

* Indicates primary specialty

NPI Profile & details for HIGHLAND PARK CVS LLC

NPI Number 1437234564
Legal business name
LBN
HIGHLAND PARK CVS LLC
Authorized official SUSAN COLBERT - (SR. DR. PAYER RELATIONS)
Entity Organization
Organization subpart No
Enumeration date 10/26/2006
Last updated 07/21/2022 - About 4 years ago
Sole proprietor1 Not specified
Identifiers
  • IL License #: 054-013779
  • IL License #: 203000676
  • IL Medicaid: 363484164009
  • Other: 14-68215 NABP
  • IL Other: 054-013779 PHARMACY LIC

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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