Organization
HIGHLAND PARK CVS LLC
Active
Other names
CVS PHARMACY # 02375
Organization subpart
No
Provider details
NPI number
Authorized official
SUSAN COLBERT (DIRECTOR, PAYER RELATIONS)
(401) 770-2751
Entity
Organization
Contact information
Practice address
1022 W. LINCOLN HWY, DEKALB, IL 60115-3020
(815) 748-0648
Mailing address
ONE CVS DRIVE, WOONSOCKET, RI 02895-6146
(401) 765-1500
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
—
1487037
NCPDP
IL
Enumeration date
07/03/2012
Last updated
10/17/2014
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