Highland Park Cvs, L.L.C.
Pharmacy in Lombard, IL. Organization (NPI-2).
NPI number1730283672
StatusActive
Last updated in NPPESJan 31, 2021
Details
- NPI
- 1730283672
- Entity type
- Organization (NPI-2)
- Legal business name
- Highland Park Cvs, L.L.C.
- Organization subpart
- No
- Enumeration date
- Sep 12, 2006
- Certification date
- Jan 28, 2021
- Last updated
- Jan 31, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 333600000X | Pharmacy | 54014964 | IL | Yes |
| 332B00000X | Durable Medical Equipment & Medical Supplies | – | – | |
| 3336C0003X | Pharmacy, Community/Retail Pharmacy | – | – |
Other names
- Cvs Pharmacy # 02791 (Doing Business As)
Practice location
1005 E Roosevelt RdLombard, IL 60148-4166
Phone 630-627-8866
Mailing address
1 Cvs DrPo Box 1075
Woonsocket, RI 02895-6146
Phone 401-765-1500 · Fax 401-770-7108
Authorized official
Susan Colbert
Director, Payer Relations
4017702751
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