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Organization
HIGHLAND PARK CVS LLC
Active
Organization
HIGHLAND PARK CVS LLC
Active
Other names
CVS PHARMACY 08654
Organization subpart
No
Provider details
NPI number
Authorized official
SUSAN COLBERT (DIRECTOR)
(401) 765-1500
Entity
Organization
Contact information
Practice address
327 E JACKSON ST, MACOMB, IL 61455-2306
(309) 833-1750
Mailing address
1 CVS DR, PO BOX 1075, WOONSOCKET, RI 02895-6146
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
NULL
333600000X
Pharmacy
Primary
—
NULL
3336C0003X
Community/Retail Pharmacy
—
NULL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1479080
OTHER ID NUMBER-COMMERCIAL NUMBER
—
Enumeration date
06/14/2006
Last updated
09/24/2018
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