Highland Park Cvs, L.l.c

NPI #1093819948 in Chicago, Illinois

Provider Information

NPI Number: 1093819948
Entity Type: Organization
Organization Name: Highland Park Cvs, L.l.c
Primary Specialty: Pharmacy
Enumeration Date: Sep 12, 2006
Last Updated: Oct 14, 2014

Practice Location

Address: 7855 S WESTERN AVE
City: Chicago
State: Illinois
ZIP Code: 60620-5823
Phone: (773) 436-6000

Authorized Official

Name: SUSAN COLBERT
Title: DIRECTOR, PAYER RELATIONS
Phone: (401) 770-2751

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacy - Community/Retail Pharmacy — Community/Retail Pharmacy	3336C0003X
Durable Medical Equipment & Medical Supplies	332B00000X
Pharmacy	333600000X	Primary

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