Highland Park Cvs LLC

NPI #1972546141 in Freeport, Illinois

Provider Information

NPI Number: 1972546141
Entity Type: Organization
Organization Name: Highland Park Cvs LLC
Primary Specialty: Pharmacy
Enumeration Date: Jun 14, 2006
Last Updated: Oct 17, 2014

Practice Location

Address: 721 W SOUTH ST
City: Freeport
State: Illinois
ZIP Code: 61032-6839
Phone: (815) 232-6129

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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