Highland Park Cvs, L.l.c.

NPI #1326598319 in Chicago, Illinois

Provider Information

NPI Number: 1326598319
Entity Type: Organization
Organization Name: Highland Park Cvs, L.l.c.
Primary Specialty: Pharmacy
Enumeration Date: Oct 13, 2016
Last Updated: Feb 21, 2017

Practice Location

Address: 1346 E 53RD ST.
City: Chicago
State: Illinois
ZIP Code: 60615
Phone: (773) 947-0438

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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