Highland Park Cvs, L.l.c.

NPI #1194828863 in Rantoul, Illinois

Provider Information

NPI Number: 1194828863
Entity Type: Organization
Organization Name: Highland Park Cvs, L.l.c.
Primary Specialty: Pharmacy
Enumeration Date: Sep 7, 2006
Last Updated: Jan 18, 2023

Practice Location

Address: 1205 E GROVE AVE
City: Rantoul
State: Illinois
ZIP Code: 61866-2629
Phone: (217) 892-8122

Authorized Official

Name: SUSAN COLBERT
Title: DIRECTOR
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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