Highland Park Cvs LLC

NPI #1841624624 in Chicago, Illinois

Provider Information

NPI Number: 1841624624
Entity Type: Organization
Organization Name: Highland Park Cvs LLC
Primary Specialty: Pharmacy
Enumeration Date: Aug 28, 2013
Last Updated: Sep 23, 2016

Practice Location

Address: 1200 N LARRABEE ST
City: Chicago
State: Illinois
ZIP Code: 60610-1746
Phone: (312) 470-8945

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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