Highland Park Cvs, L.l.c.

NPI #1720182678 in Chicago, Illinois

Provider Information

NPI Number: 1720182678
Entity Type: Organization
Organization Name: Highland Park Cvs, L.l.c.
Primary Specialty: Pharmacy
Enumeration Date: Sep 12, 2006
Last Updated: Oct 8, 2014

Practice Location

Address: 1201 N STATE PKWY
City: Chicago
State: Illinois
ZIP Code: 60610-2218
Phone: (312) 640-2842

Authorized Official

Name: SUSAN COLBERT
Title: DIRECTOR
Phone: (401) 765-1500

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacy - Community/Retail Pharmacy — Community/Retail Pharmacy	3336C0003X
Durable Medical Equipment & Medical Supplies	332B00000X
Pharmacy	333600000X	Primary

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