Highland Park Cvs, L.L.C in Dwight - Community/retail Pharmacy
Highland Park Cvs, L.L.C - NPI 1558446633
Highland Park Cvs, L.L.C is a Community/retail Pharmacy in Dwight, Illinois. Highland Park Cvs, L.L.C practices all healthcare services and medical treatments related to Community/retail Pharmacy. The NPI Number for Highland Park Cvs, L.L.C is 1558446633. The last update date is 2022-07-21.
Highland Park Cvs, L.L.C's current location address is 106 Watters Dr, Dwight, Illinois. You can contact this provider via phone number 8155842140 and fax number 8155841722. The mailing address for Highland Park Cvs, L.L.C is 106 Watters Dr, Dwight, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Highland Park Cvs, L.L.C |
|---|---|
| Address | 106 Watters Dr, Dwight, Illinois |
| Phone Number | 8155842140 |
| Fax Number | 8155841722 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | SR. DR. PA |
|---|---|
| Authorized Official Name | Colbert Susan |
| Telephone Number | 4017702751 |
NPI Number Detail
| NPI Number | 1558446633 |
|---|---|
| Provider Enumeration Date | 2006-10-26 |
| Last Updated Date | 2022-07-21 |
Provider Mailing Address Detail
| Address | 106 Watters Dr |
|---|---|
| City | Dwight |
| State | Illinois (IL) |
| Post Code | 60420 |
| Phone Number | 8155842140 |
| Fax Number | 8155841722 |
Provider's Primary Taxonomy Detail
| Speciality | Community/retail Pharmacy |
|---|---|
| Taxonomy | 3336C0003X |
| Licence No | 054-011925 |
|
Definition: 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 pr |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 054-011925 | IL | PHARMACY LIC | |
| 363484164004 | IL | -- |
Post Comment/ Review Below
What is the Highland Park Cvs, L.L.C's 1558446633?
The Highland Park Cvs, L.L.C's NPI (National Provider Identifier) Number is 1558446633. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical address where Highland Park Cvs, L.L.C is geographically located?
The Highland Park Cvs, L.L.C is physically situated at the following location: 106 Watters Dr, Dwight, IL, 60420.
What is the Highland Park Cvs, L.L.C's specialty and taxonomy code?
The Highland Park Cvs, L.L.C's specialty is Community/retail Pharmacy, and the corresponding taxonomy code is 3336C0003X.
On what date did the Centers for Medicare & Medicaid Services assign the 1558446633 to Highland Park Cvs, L.L.C?
The Centers for Medicare & Medicaid Services assigned the 1558446633 to Highland Park Cvs, L.L.C on 2006-10-26.
As of what date were the details related to Highland Park Cvs, L.L.C most recently updated or revised?
The information pertaining to Highland Park Cvs, L.L.C, including its address, specialty, and other relevant details, was last updated or revised on 2022-07-21.