Organization
HIGHLAND PARK CVS, L.L.C.
Active
Other names
CVS Pharmacy #01172
Organization subpart
No
Provider details
NPI number
Authorized official
SUSAN F COLBERT (DIRECTOR, PAYER RELATIONS)
(401) 770-2751
Entity
Organization
Contact information
Practice address
2020 E GRAND AVENUE, LINDENHURST, IL 60046
(847) 356-4302
Mailing address
ONE CVS DRIVE, BOX 1075 - PHARMACY ENROLLMENTS, WOONSOCKET, RI 02895
(401) 765-1500
(401) 770-7108
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
Primary
054-16036
IL
3336C0003X
Community/Retail Pharmacy
—
—
Other
Enumeration date
09/05/2006
Last updated
03/08/2012
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