Organization
HIGHLAND PARK CVS LLC
Active
Other names
CVS Pharmacy# 10052
Organization subpart
No
Provider details
NPI number
Authorized official
SUSAN COLBERT (DIRECTOR. PAYER RELATIONS)
(401) 765-1500
Entity
Organization
Contact information
Practice address
1515 SHERIDAN RD, WILMETTE, IL 60091-1822
(847) 251-6223
Mailing address
1 CVS DR, WOONSOCKET, RI 02895-6146
(401) 765-1500
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
Primary
—
—
3336C0003X
Community/Retail Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1487710
NCPDP
—
Enumeration date
02/15/2013
Last updated
09/03/2013
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