National Provider Identifier Database

HIGHLAND PARK CVS LLC
Pharmacy

A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located.


Contact Information

HIGHLAND PARK CVS, L.L.C.
907 E US HIGHWAY 50
O'FALLON, IL62269-2856
Phone: 618-632-5525
Fax: 618-632-0729
Website:
Specialty Taxonomy Code
* Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X
Diabetes Educator 163WD0400X
Durable Medical Equipment & Medical Supplies 332B00000X
Medical Specialty 261QM2500X

* Indicates primary specialty

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

NPI Number 1245309194
Legal business name
LBN
HIGHLAND PARK CVS, L.L.C.
Authorized official SUSAN COLBERT - (SR. DIRECTOR, PAYER RELATIONS)
Entity Organization
Organization subpart Yes
Enumeration date 11/07/2006
Last updated 07/15/2020 - About 6 years ago
Sole proprietor1 Not specified
Identifiers
  • IL License #: 54013333
  • IL Medicaid: 431394080001
  • Other: 1467275 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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