Highland Park Cvs LLC

NPI #1740509496 in Chicago, Illinois

Provider Information

NPI Number: 1740509496
Entity Type: Organization
Organization Name: Highland Park Cvs LLC
Primary Specialty: Pharmacy
Enumeration Date: May 20, 2010
Last Updated: Sep 23, 2016

Practice Location

Address: 4466 N BROADWAY ST
City: Chicago
State: Illinois
ZIP Code: 60640-5660
Phone: (773) 596-2377

Authorized Official

Name: SUSAN COLBERT
Title: SR. 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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