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Highland Park Cvs, L.l.c.
Community/Retail Pharmacy in Centralia, Illinois
NPI 1548296890

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 Centralia, IL. The NPI Number for Highland Park Cvs, L.l.c. is 1548296890 and holds a License No. (Illinois).

The current practice location address for Highland Park Cvs, L.l.c. is 1129 W Broadway, Centralia, IL and can be reached out via phone at 618-532-4993 and via fax at 618-532-1617.

Location: 1129 W Broadway, Centralia, IL, 02895-6146
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1548296890
Provider Name
Highland Park Cvs, L.l.c.
Credential
Provider Entity Type
Organization
Address
1129 W Broadway, Centralia, IL, 02895-6146
Phone Number
618-532-4993
Fax Number
618-532-1617
Provider Enumeration Date
06/25/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
430726776733 05 IL
1465889 01 OTHER ID NUMBER-COMMERCIAL NUMBER
institution
Provider Business Practice Location Address Details
Address
1129 W Broadway
City
Centralia
State
Illinois
Zip
62801-5353
Phone Number
618-532-4993
Fax Number
618-532-1617
person
Provider Business Mailing Address Details
Address
1129 W Broadway
City
Centralia
State
Illinois
Zip
62801-5353
Phone Number
618-532-4993
Fax Number
618-532-1617
person
Provider's Taxonomy Details 1
Type
Nursing Service Providers
Classification
Registered Nurse
Speciality
Diabetes Educator
Taxonomy
163WD0400X
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Medical Specialty
Taxonomy
261QM2500X
License No.
05412056 (Illinois)
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer).
person
Provider's Taxonomy Details 3
Type
Suppliers
Classification
Pharmacy
Speciality
-
Taxonomy
333600000X
License No.
()
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 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.
person
Provider's Taxonomy Details 4
Type
Suppliers
Classification
Pharmacy
Speciality
Community/Retail Pharmacy
Taxonomy
3336C0003X
License No.
()
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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