Highland Park Cvs, L.l.c.

NPI #1144540725 in Normal, Illinois

Provider Information

NPI Number
1144540725
Entity Type
Organization
Organization Name
Highland Park Cvs, L.l.c.
Primary Specialty
Pharmacy
Enumeration Date
Jun 7, 2010
Last Updated
Dec 16, 2010

Practice Location

Address
100 S FELL AVE
Address 2
SUITE 103
City
Normal
ZIP Code
61761
Phone
(309) 452-0393

Authorized Official

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

Specialties & Taxonomy Codes

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

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