Organization
HIGHLAND PARK CVS LLC
Active
Other names
CVS PHARMACY #08502
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
6315 S PULASKI RD, CHICAGO, IL 60629-4759
(773) 284-7070
Mailing address
1 CVS DR, PO BOX 1075, WOONSOCKET, RI 02895-6146
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
—
—
3336C0003X
Community/Retail Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1479268
OTHER ID NUMBER-COMMERCIAL NUMBER
—
01
—
P00754411
MEDICARE RR
IL
Enumeration date
06/09/2006
Last updated
01/19/2023
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