Organization
HIGHLAND PARK CVS, L.L.C.
Active
Other names
CVS PHARMACY 03163
Organization subpart
No
Provider details
NPI number
Authorized official
SUSAN F COLBERT (EXEC DIR, RX SERVICES)
(401) 770-2751
Entity
Organization
Contact information
Practice address
345 MADISON ST, OAK PARK, IL 60302-4111
(708) 386-2387
Mailing address
1 CVS DR, PO BOX 1075, WOONSOCKET, RI 02895-6146
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
Primary
54014874
IL
3336C0003X
Community/Retail Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1475652
OTHER ID NUMBER-COMMERCIAL NUMBER
—
05
—
364450710163
—
IL
Enumeration date
09/12/2006
Last updated
01/11/2023
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