Highland Park Cvs, L.l.c.

NPI #1104929876 in Peoria, Illinois

Provider Information

NPI Number
1104929876
Entity Type
Organization
Organization Name
Highland Park Cvs, L.l.c.
Primary Specialty
Pharmacy
Enumeration Date
Sep 7, 2006
Last Updated
Mar 13, 2012

Practice Location

Address
200 N MAIN ST
City
Peoria
ZIP Code
61611-2549
Phone
(309) 694-1496

Authorized Official

Name
SUSAN COLBERT
Title
DIRECTOR
Phone
(401) 765-1500

Specialties & Taxonomy Codes

Specialty
Pharmacy - Community/Retail PharmacyCommunity/Retail Pharmacy
Durable Medical Equipment & Medical Supplies
Pharmacy

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