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, L.L.C.
2811 HOMER ADAMS PKWY
ALTON, IL62002-4856
Phone: 618-465-5844
Fax: 618-465-3032
Website:
Specialty Taxonomy Code
* Community/Retail Pharmacy 3336C0003X
Diabetes Educator 163WD0400X
Durable Medical Equipment & Medical Supplies 332B00000X
Medical Specialty 261QM2500X
Pharmacy 333600000X

* Indicates primary specialty

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

NPI Number 1720023732
Legal business name
LBN
HIGHLAND PARK CVS, L.L.C.
Authorized official SUSAN COLBERT - (SR. DIRECTOR, PAYER RELATIONS)
Entity Organization
Organization subpart No
Enumeration date 06/17/2006
Last updated 07/15/2020 - About 6 years ago
Sole proprietor1 Not specified
Identifiers
  • IL License #: 054009100
  • IL Medicaid: 430957246146
  • Other: 1453961 OTHER ID NUMBER-COMMERCIAL NUMBER

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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