Highland Park Cvs LLC
Pharmacy in Lombard, IL. Organization (NPI-2).
NPI number1215959028
StatusActive
Last updated in NPPESAug 29, 2016
Details
- NPI
- 1215959028
- Entity type
- Organization (NPI-2)
- Legal business name
- Highland Park Cvs LLC
- Organization subpart
- No
- Enumeration date
- Jul 24, 2006
- Last updated
- Aug 29, 2016
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 333600000X | Pharmacy | – | – | Yes |
| 332B00000X | Durable Medical Equipment & Medical Supplies | – | – | |
| 3336C0003X | Pharmacy, Community/Retail Pharmacy | 054.019779 | IL |
Other names
- Cvs Pharmacy #16412 (Doing Business As)
Practice location
60 Yorktown Shopping CtrLombard, IL 60148-5529
Phone 630-495-9660 · Fax 630-282-1047
Mailing address
1 Cvs DrBox 1075
Woonsocket, RI 02895-6146
Phone 401-765-1500
Authorized official
Susan Colbert
Sr. Director, Payer Relations
4017702751
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