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Organization

HIGHLAND PARK CVS, L.L.C.

Active
Other names
CVS PHARMACY # 06701
Organization subpart
No

Provider details

NPI number
Authorized official
SUSAN COLBERT (DIRECTOR, PAYER RELATIONS)
(401) 770-2751
Entity
Organization

Contact information

Practice address
101 BARTLETT PLZ, BARTLETT, IL 60103
(630) 372-3310
Mailing address
1 CVS DR, PO BOX 1075, WOONSOCKET, RI 02895-6146
(401) 765-1500
(401) 770-7108

Taxonomy

Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
333600000X
Pharmacy
Primary
054015501
IL
3336C0003X
Community/Retail Pharmacy

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1477973
OTHER ID NUMBER-COMMERCIAL NUMBER
Enumeration date
09/19/2006
Last updated
03/13/2012
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