Highland Park Cvs, L.l.c.

NPI #1942303615 in Chicago, Illinois

Provider Information

NPI Number: 1942303615
Entity Type: Organization
Organization Name: Highland Park Cvs, L.l.c.
Primary Specialty: Pharmacy
Enumeration Date: Sep 7, 2006
Last Updated: Oct 8, 2014

Practice Location

Address: 3951 W 103RD ST
City: Chicago
State: Illinois
ZIP Code: 60655-3703
Phone: (773) 881-3359

Authorized Official

Name: SUSAN COLBERT
Title: DIRECTOR, PAYER RELATIONS
Phone: (401) 770-2751

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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