Highland Park Cvs LLC
NPI #1114263738 in East Peoria, Illinois
Provider Information
- NPI Number
- 1114263738
- Entity Type
- Organization
- Organization Name
- Highland Park Cvs LLC
- Primary Specialty
- Pharmacy
- Enumeration Date
- Dec 31, 2012
- Last Updated
- Sep 23, 2016
Practice Location
- Address
- 480 W WASHINGTON ST
- City
- East Peoria
- State
- Illinois
- ZIP Code
- 61611-2445
- Phone
- (309) 407-3046
Authorized Official
- Name
- SUSAN COLBERT
- Title
- SR. DIRECTOR, PAYER RELATIONS
- Phone
- (401) 770-2751
Specialties & Taxonomy Codes
| Specialty |
|---|
| Durable Medical Equipment & Medical Supplies |
| Pharmacy - Community/Retail Pharmacy — Community/Retail Pharmacy |
| Pharmacy |
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