Highland Park Cvs LLC
Pharmacy in Chicago, IL. Organization (NPI-2).
NPI number1669002135
StatusActive
Last updated in NPPESMar 3, 2020
Details
- NPI
- 1669002135
- Entity type
- Organization (NPI-2)
- Legal business name
- Highland Park Cvs LLC
- Organization subpart
- No
- Enumeration date
- Jan 23, 2020
- Certification date
- Mar 3, 2020
- Last updated
- Mar 3, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 333600000X | Pharmacy | – | – | Yes |
| 332B00000X | Durable Medical Equipment & Medical Supplies | – | – | |
| 3336C0003X | Pharmacy, Community/Retail Pharmacy | – | – |
Other names
- Cvs Pharmacy #17761 (Doing Business As)
Practice location
2434 N Sacramento AveChicago, IL 60647-2666
Phone 773-687-6346
Mailing address
1 Cvs Dr # 1075Woonsocket, RI 02895-6146
Authorized official
Susan F Colbert
Sr. Director
4017702751
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