Organization
HIGHLAND PARK CVS, L.L.C.
Active
Other names
CVS Pharmacy #18072
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
2239 E COOK ST STE 101, SPRINGFIELD, IL 62703-1944
(217) 753-1956
(217) 753-8340
Mailing address
1 CVS DR # 1075, 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
Enumeration date
04/17/2012
Last updated
08/24/2020
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