Highland Park Cvs, L.l.c.
NPI #1467555235 in Mount Vernon, Illinois
Provider Information
- NPI Number
- 1467555235
- Entity Type
- Organization
- Organization Name
- Highland Park Cvs, L.l.c.
- Primary Specialty
- Pharmacy
- Enumeration Date
- Sep 7, 2006
- Last Updated
- Mar 12, 2012
Practice Location
- Address
- 2700 BROADWAY ST
- City
- Mount Vernon
- State
- Illinois
- ZIP Code
- 62864-2342
- Phone
- (618) 242-2074
Authorized Official
- Name
- SUSAN COLBERT
- Title
- DIRECTOR
- Phone
- (401) 765-1500
Specialties & Taxonomy Codes
| Specialty |
|---|
| Pharmacy - Community/Retail Pharmacy — Community/Retail Pharmacy |
| Durable Medical Equipment & Medical Supplies |
| Pharmacy |
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