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Organization
HIGHLAND PARK CVS LLC
Active
Organization
HIGHLAND PARK CVS LLC
Active
Other names
CVS PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
SUSAN F COLBERT (SR. DIRECTOR, PAYER RELATIONS)
(401) 770-2751
Entity
Organization
Contact information
Practice address
3134 11TH ST, ROCKFORD, IL 61109-2273
(815) 398-0048
Mailing address
1 CVS DR, PO BOX 1075, WOONSOCKET, RI 02895-6146
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
—
—
3336C0003X
Community/Retail Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1479232
OTHER ID NUMBER-COMMERCIAL NUMBER
—
Enumeration date
06/09/2006
Last updated
12/20/2022
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