Highland Park Cvs LLC

NPI #1902909674 in Havana, Illinois

Provider Information

NPI Number: 1902909674
Entity Type: Organization
Organization Name: Highland Park Cvs LLC
Primary Specialty: Pharmacy
Enumeration Date: Sep 7, 2006
Last Updated: Mar 13, 2012

Practice Location

Address: 320 E DEARBORN ST
City: Havana
State: Illinois
ZIP Code: 62644-1883
Phone: (309) 543-6603

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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