Highland Park Cvs, L.l.c.

NPI #1407083009 in Mokena, Illinois

Provider Information

NPI Number: 1407083009
Entity Type: Organization
Organization Name: Highland Park Cvs, L.l.c.
Primary Specialty: Pharmacy
Enumeration Date: Jun 22, 2009
Last Updated: Jul 14, 2021

Practice Location

Address: 19900 S LA GRANGE RD
City: Mokena
State: Illinois
ZIP Code: 60448-8674
Phone: (708) 478-1821

Authorized Official

Name: SUSAN COLBERT
Title: DIRECTOR, PAYER RELATIONS
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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