Highland Park Cvs LLC

NPI #1952342826 in Roscoe, Illinois

Provider Information

NPI Number: 1952342826
Entity Type: Organization
Organization Name: Highland Park Cvs LLC
Primary Specialty: Pharmacy
Enumeration Date: Jun 9, 2006
Last Updated: Mar 13, 2012

Practice Location

Address: 4843 BLUE STEM RD
City: Roscoe
State: Illinois
ZIP Code: 61073-7794
Phone: (815) 623-1696

Authorized Official

Name: SUSAN F 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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