Organization
HIGHLAND PARK CVS, L.L.C.
Active
Other names
CVS PHARMACY # 06922
Organization subpart
No
Provider details
NPI number
Authorized official
SUSAN COLBERT (DIRECTOR)
(401) 765-1500
Entity
Organization
Contact information
Practice address
110 N CEDAR ST, SHELBYVILLE, IL 62565-1242
(217) 771-5513
Mailing address
1 CVS DR, PO BOX 1075, WOONSOCKET, RI 02895-6146
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
Primary
054-011831
IL
3336C0003X
Community/Retail Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1444859
OTHER ID NUMBER-COMMERCIAL NUMBER
—
01
—
P00754740
MEDICARE RR
—
Enumeration date
09/07/2006
Last updated
01/18/2023
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us