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Highland Park Cvs, L.l.c.
Community/Retail Pharmacy in Pontiac, Illinois
NPI 1326123340

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 Pontiac, IL. The NPI Number for Highland Park Cvs, L.l.c. is 1326123340 and holds a License No. 203000699 (Illinois).

The current practice location address for Highland Park Cvs, L.l.c. is 1034 W. Reynolds Street, Pontiac, IL and can be reached out via phone at 815-842-6774 and via fax at 815-842-2648.

Location: 1034 W. Reynolds Street, Pontiac, IL, 02895-6146
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1326123340
Provider Name
Highland Park Cvs, L.l.c.
Credential
Provider Entity Type
Organization
Address
1034 W. Reynolds Street, Pontiac, IL, 02895-6146
Phone Number
815-842-6774
Fax Number
815-842-2648
Provider Enumeration Date
10/26/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
363484164017 05 IL
14-48794 01 NABP
054-008366 01 IL PHARMACY LIC
institution
Provider Business Practice Location Address Details
Address
1034 W. Reynolds Street
City
Pontiac
State
Illinois
Zip
61764
Phone Number
815-842-6774
Fax Number
815-842-2648
person
Provider Business Mailing Address Details
Address
1034 W. Reynolds Street
City
Pontiac
State
Illinois
Zip
61764
Phone Number
815-842-6774
Fax Number
815-842-2648
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Durable Medical Equipment & Medical Supplies
Speciality
-
Taxonomy
332B00000X
License No.
054-008366 (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.
203000699 (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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