Highland Park Cvs, L.l.c

NPI #1134578354 in Chicago, Illinois

Provider Information

NPI Number: 1134578354
Entity Type: Organization
Organization Name: Highland Park Cvs, L.l.c
Primary Specialty: Pharmacy
Enumeration Date: Jun 8, 2016
Last Updated: Oct 26, 2016

Practice Location

Address: 2650 N CLARK ST
City: Chicago
State: Illinois
ZIP Code: 60614-1523
Phone: (773) 525-0179

Authorized Official

Name: SUSAN COLBERT
Title: SR DIRECTOR PAYER RELATIONS
Phone: (401) 765-1500

Specialties & Taxonomy Codes

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

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