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Organization

HIGHLAND PARK CVS LLC

Active
Other names
CVS Pharmacy #16568
Organization subpart
No

Provider details

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

Contact information

Practice address
13460 S ARCHER AVE, LEMONT, IL 60439-4755
(630) 243-6518
(630) 378-8427
Mailing address
1 CVS DR, BOX 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
054.019782
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
2020687
PK
Enumeration date
07/24/2006
Last updated
09/23/2016
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