Highland Park Cvs, L.l.c.

NPI #1558592949 in Normal, Illinois

Provider Information

NPI Number
1558592949
Entity Type
Organization
Organization Name
Highland Park Cvs, L.l.c.
Primary Specialty
Pharmacy
Enumeration Date
Aug 3, 2009
Last Updated
Oct 15, 2014

Practice Location

Address
1701 FORT JESSE RD
City
Normal
ZIP Code
61761-2285
Phone
(309) 452-1370

Authorized Official

Name
SUSAN COLBERT
Title
DIRECTOR, MANAGED CARE CONTRACT ADM
Phone
(401) 765-1500

Specialties & Taxonomy Codes

Specialty
Durable Medical Equipment & Medical Supplies
Pharmacy - Community/Retail PharmacyCommunity/Retail Pharmacy
Pharmacy

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