Highland Park Cvs, LLC
Highland Park Cvs, LLC is a Diabetes Educator Registered Nurse in Centralia, Illinois. Licensed in Illinois. Registered with an NPI since 2006.
- Licensed in
- IL
- In the registry since
- 2006
- Specialties on file
- 4
What do these letters mean?
- LLC — Limited liability company
- A form of business registration, not a clinical qualification.
Practice location Address checks out
1129 W BroadwayCentralia, IL 62801-5353
Phone: (618) 532-4993
Fax: (618) 532-1617
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 |
| Pharmacy | Taxonomy 333600000X · Licence 05412056 (IL) |
Record details
| NPI number | 1548296890 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | Yes |
| Parent organization | Schnuck Markets Inc |
| Authorized official | Susan Colbert — Sr. Director, Payer Relations · (401) 770-2751 |
| Other names | Cvs Pharmacy #18091; 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 |