Highland Park Cvs, LLC

Organization Diabetes Educator Registered Nurse · NPI 1669408183

Highland Park Cvs, LLC is a Diabetes Educator Registered Nurse in Fairview Heights, 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.

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Practice location Address checks out

625 Lincoln Hwy
Fairview Heights, IL 62208-2121
Phone: (618) 624-4313
Fax: (618) 624-4315

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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 054008431 (IL)
Pharmacy	Taxonomy 333600000X · Licence 054008431 (IL)

Record details

NPI number	1669408183
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 #18030
NPI enumerated	June 25, 2006
Last updated in NPPES	July 15, 2020
Certification date	July 15, 2020
Mailing address	1 Cvs Drive, Box 1075, Woonsocket, RI 02895-6146