Organization
HIGHLAND PARK CVS, L.L.C.
Active
Other names
CVS Pharmacy # 07970
Organization subpart
No
Provider details
NPI number
Authorized official
SUSAN F COLBERT (EXEC DIR, RX SVCS)
(401) 770-2751
Entity
Organization
Contact information
Practice address
4511 ALGONQUIN RD., LAKE IN THE HILLS, IL 60156
(847) 669-3852
Mailing address
1 CVS DR, BOX 1075 - PHARMACY ENROLLMENTS, WOONSOCKET, RI 02895-6146
(401) 765-1500
(401) 770-7108
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
IL
333600000X
Pharmacy
Primary
—
IL
3336C0003X
Community/Retail Pharmacy
—
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1483229
NCPDP
IL
Enumeration date
04/24/2009
Last updated
01/18/2023
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