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Organization

HIGHLAND PARK CVS LLC

Active
Other names
CVS Pharmacy #17717
Organization subpart
No

Provider details

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

Contact information

Practice address
1129 LAKE ST., OAK PARK, IL 60301
(708) 383-0267
Mailing address
1 CVS DR, 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
3336C0003X
Community/Retail Pharmacy

Other

Enumeration date
08/23/2017
Last updated
07/21/2022
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