# HIGHLAND PARK CVS, L.L.C.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** CVS Pharmacy \#10599
- **Organization subpart:** No

## Provider details

- **NPI number:** 1518042688
- **Authorized official:** SUSAN COLBERT (SR. DIRECTOR, PAYER RELATIONS)
- **Authorized official phone:** (401) 770-2751

## Contact information

- **Practice address:** 245 S BROADWAY STREET, COAL CITY, IL 60416
- **Practice address phone:** (815) 634-0455
- **Practice address fax:** (815) 634-4328
- **Mailing address:** 1 CVS DRIVE, BOX 1075, WOONSOCKET, RI 02895-6146
- **Mailing address phone:** (401) 765-1500
- **Mailing address fax:** (815) 458-6158

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332B00000X | Durable Medical Equipment & Medical Supplies | 203000679 | IL | — |
| 3336C0003X | Community/Retail Pharmacy | 054-008392 | IL | Yes |

## Other

- **Enumeration date:** 10/26/2006
- **Last updated:** 01/18/2018