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Highland Park Cvs, L.l.c.
Community/Retail Pharmacy in Momence, Illinois
NPI 1063598068

Highland Park Cvs, L.l.c. is a Community/Retail Pharmacy based in Woonsocket, IL and is specialized in Community/Retail Pharmacy. Highland Park Cvs, L.l.c. practices in Momence, IL. The NPI Number for Highland Park Cvs, L.l.c. is 1063598068 and holds a License No. 203000672 (Illinois).

The current practice location address for Highland Park Cvs, L.l.c. is 2764 N. Route 1-17, Momence, IL and can be reached out via phone at 815-472-3223 and via fax at 815-472-3253.

Location: 2764 N. Route 1-17, Momence, IL, 02895-6146
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1063598068
Provider Name
Highland Park Cvs, L.l.c.
Credential
Provider Entity Type
Organization
Address
2764 N. Route 1-17, Momence, IL, 02895-6146
Phone Number
815-472-3223
Fax Number
815-472-3253
Provider Enumeration Date
10/31/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
363484164012 05 IL
54-014073 01 IL PHARMACY LIC
14-70070 01 NABP
institution
Provider Business Practice Location Address Details
Address
2764 N. Route 1-17
City
Momence
State
Illinois
Zip
60954
Phone Number
815-472-3223
Fax Number
815-472-3253
person
Provider Business Mailing Address Details
Address
2764 N. Route 1-17
City
Momence
State
Illinois
Zip
60954
Phone Number
815-472-3223
Fax Number
815-472-3253
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Durable Medical Equipment & Medical Supplies
Speciality
-
Taxonomy
332B00000X
License No.
54-014073 (Illinois)
Definition
A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time.
person
Provider's Taxonomy Details 2
Type
Suppliers
Classification
Pharmacy
Speciality
Community/Retail Pharmacy
Taxonomy
3336C0003X
License No.
203000672 (Illinois)
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 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.
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