Highland Park Cvs LLC

NPI #1215585757 in Chicago, Illinois

Provider Information

NPI Number: 1215585757
Entity Type: Organization
Organization Name: Highland Park Cvs LLC
Primary Specialty: Pharmacy
Enumeration Date: Aug 28, 2019
Last Updated: Oct 2, 2019

Practice Location

Address: 1034 WEST LAKE ST
City: Chicago
State: Illinois
ZIP Code: 60607
Phone: (312) 705-2004

Authorized Official

Name: SUSAN F COLBERT
Title: SR. DIRECTOR
Phone: (401) 770-2751

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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