Highland Park Cvs LLC

NPI #1255812707 in Chicago, Illinois

Provider Information

NPI Number: 1255812707
Entity Type: Organization
Organization Name: Highland Park Cvs LLC
Primary Specialty: Pharmacy
Enumeration Date: Aug 23, 2018
Last Updated: Sep 24, 2018

Practice Location

Address: 310 S MICHIGAN AVE
City: Chicago
State: Illinois
ZIP Code: 60604-4207
Phone: (312) 588-0704

Authorized Official

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

Specialties & Taxonomy Codes

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

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