Organization
HIGHLAND PARK CVS LLC
Active
Other names
CVS Pharmacy #11139
Organization subpart
No
Provider details
NPI number
Authorized official
SUSAN F COLBERT (SR. DIRECTOR)
(401) 770-2751
Entity
Organization
Contact information
Practice address
739 ROOSEVELT RD, GLEN ELLYN, IL 60137-5877
(630) 790-3385
Mailing address
1 CVS DR # 1075, WOONSOCKET, RI 02895-6146
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
Primary
—
—
3336C0003X
Community/Retail Pharmacy
—
—
Other
Enumeration date
08/29/2018
Last updated
10/10/2018
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