Highland Park Cvs, L.l.c.

NPI #1750606844 in Chicago, Illinois

Provider Information

NPI Number: 1750606844
Entity Type: Organization
Organization Name: Highland Park Cvs, L.l.c.
Primary Specialty: Pharmacy
Enumeration Date: Mar 31, 2010
Last Updated: Oct 14, 2014

Practice Location

Address: 1211 W ROOSEVELT RD
City: Chicago
State: Illinois
ZIP Code: 60608-1413
Phone: (312) 733-0147

Authorized Official

Name: SUSAN F. COLBERT
Title: DIRECTOR MANAGED CARE CONTRACT ADM
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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