Highland Park Cvs, L.l.c.

NPI #1922101690 in Carlyle, Illinois

Provider Information

NPI Number: 1922101690
Entity Type: Organization
Organization Name: Highland Park Cvs, L.l.c.
Primary Specialty: Pharmacy
Enumeration Date: Sep 7, 2006
Last Updated: Mar 13, 2012

Practice Location

Address: 1171 FRANKLIN ST
City: Carlyle
State: Illinois
ZIP Code: 62231-1835
Phone: (618) 594-2405

Authorized Official

Name: SUSAN COLBERT
Title: DIRECTOR
Phone: (401) 765-1500

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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