Highland Park Cvs, LLC
Highland Park Cvs, LLC is a Diabetes Educator Registered Nurse in Champaign, Illinois. Licensed in Illinois. Registered with an NPI since 2006.
- Licensed in
- IL
- In the registry since
- 2006
- Specialties on file
- 5
What do these letters mean?
- LLC — Limited liability company
- A form of business registration, not a clinical qualification.
Practice location Address checks out
109 N Mattis AveChampaign, IL 61821-3059
Phone: (217) 351-8497
Fax: (217) 351-8056
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Community/Retail Pharmacy (primary) | Taxonomy 3336C0003X |
|---|---|
| Diabetes Educator Registered Nurse | Taxonomy 163WD0400X |
| Medical Specialty Clinic/Center | Taxonomy 261QM2500X |
| Durable Medical Equipment & Medical Supplies | Taxonomy 332B00000X · Licence 054001003 (IL) |
| Pharmacy | Taxonomy 333600000X · Licence 054001003 (IL) |
Record details
| NPI number | 1376579623 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Susan Colbert — Sr. Director, Payer Relations · (401) 770-2751 |
| Other names | Cvs Pharmacy #18078; Schnucks Pharmacy; Schnucks Pharmacy |
| NPI enumerated | June 25, 2006 |
| Last updated in NPPES | July 14, 2020 |
| Certification date | July 14, 2020 |
| Mailing address | 1 Cvs Dr # 1075, Woonsocket, RI 02895-6146 |
Other providers in Champaign
-
Carole A. Murphy, BSN, CDE
1801 Windsor Rd, Champaign, IL 61822-6217 · (217) 366-8012