Organization
HIGHLAND PARK CVS, L.L.C.
Active
Other names
CVS Pharmacy #18039, Schnucks Pharmacy 178
Organization subpart
No
Provider details
NPI number
Authorized official
SUSAN F COLBERT (SR. DIRECTOR, PAYER RELATIONS)
(401) 770-2751
Entity
Organization
Contact information
Practice address
72 AIRPORT PLZ, BETHALTO, IL 62010-1774
(618) 717-7051
(618) 717-7052
Mailing address
1 CVS DR, BOX 1075, WOONSOCKET, RI 02895-6146
(401) 765-1500
(314) 994-4586
Taxonomy
Speciality
Code
Description
License number
State
163WD0400X
Diabetes Educator Registered Nurse
—
—
261QM2500X
Medical Specialty Clinic/Center
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
054-020607
IL
Other
Enumeration date
11/28/2017
Last updated
07/15/2020
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