Highland Park Cvs, L.l.c.

NPI #1811091754 in Mokena, Illinois

Provider Information

NPI Number: 1811091754
Entity Type: Organization
Organization Name: Highland Park Cvs, L.l.c.
Primary Specialty: Pharmacy
Enumeration Date: Sep 12, 2006
Last Updated: Oct 14, 2014

Practice Location

Address: 11200 W LINCOLN HWY
City: Mokena
State: Illinois
ZIP Code: 60448-8208
Phone: (815) 464-2173

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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