Highland Park Cvs, L.l.c.

NPI #1720181597 in Salem, Illinois

Provider Information

NPI Number: 1720181597
Entity Type: Organization
Organization Name: Highland Park Cvs, L.l.c.
Primary Specialty: Pharmacy
Enumeration Date: Sep 7, 2006
Last Updated: Dec 20, 2022

Practice Location

Address: 1022 W MAIN ST
City: Salem
State: Illinois
ZIP Code: 62881-2929
Phone: (618) 548-5300

Authorized Official

Name: SUSAN F 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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