Highland Park Cvs, L.L.C. in Peoria - Pharmacy
Highland Park Cvs, L.L.C. - NPI 1649373317
Highland Park Cvs, L.L.C. is a Pharmacy in Peoria, Illinois. Highland Park Cvs, L.L.C. practices all healthcare services and medical treatments related to Pharmacy. The NPI Number for Highland Park Cvs, L.L.C. is 1649373317. The last update date is 2012-03-08.
Highland Park Cvs, L.L.C.'s current location address is 1200 W Main St, Peoria, Illinois. You can contact this provider via phone number 3096736272. The mailing address for Highland Park Cvs, L.L.C. is 1200 W Main St, Peoria, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Highland Park Cvs, L.L.C. |
|---|---|
| Address | 1200 W Main St, Peoria, Illinois |
| Phone Number | 3096736272 |
| Fax Number | |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | DIRECTOR |
|---|---|
| Authorized Official Name | Colbert Susan |
| Telephone Number | 4017651500 |
NPI Number Detail
| NPI Number | 1649373317 |
|---|---|
| Provider Enumeration Date | 2006-09-07 |
| Last Updated Date | 2012-03-08 |
Provider Mailing Address Detail
| Address | 1200 W Main St |
|---|---|
| City | Peoria |
| State | Illinois (IL) |
| Post Code | 616061200 |
| Phone Number | 3096736272 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Pharmacy |
|---|---|
| Taxonomy | 333600000X |
| Licence No | 054-011786 |
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Definition: 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 presc |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1458480 | OTHER ID NUMBER-COMMERCIAL NUM |
Post Comment/ Review Below
What is the unique identifier code issued to Highland Park Cvs, L.L.C. by the Centers for Medicare & Medicaid Services?
The Highland Park Cvs, L.L.C. has been assigned the NPI (National Provider Identifier) 1649373317. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical location address where Highland Park Cvs, L.L.C.'s facilities are situated?
The facilities of Highland Park Cvs, L.L.C. are physically located at the following address: 1200 W Main St, Peoria, IL, 616061200.
What is the Highland Park Cvs, L.L.C.'s specialty and taxonomy code?
The Highland Park Cvs, L.L.C.'s specialty is Pharmacy, and the corresponding taxonomy code is 333600000X.
On what date did the Centers for Medicare & Medicaid Services issue the 1649373317 to Highland Park Cvs, L.L.C.?
The Highland Park Cvs, L.L.C. received its 1649373317 assignment from the Centers for Medicare & Medicaid Services on 2006-09-07.
When was the information regarding Highland Park Cvs, L.L.C. most recently updated?
The details pertaining to the Highland Park Cvs, L.L.C., including its address, specialty, and other relevant information, were last refreshed on 2012-03-08.