Organization · NPI-2
Highland Park Cvs, L.L.C.
Pharmacy · Olympia Fields, IL
NPI number1972734622
StatusActive
Last updated in NPPESMar 8, 2012
Details
- NPI
- 1972734622
- Entity type
- Organization (NPI-2)
- Legal business name
- Highland Park Cvs, L.L.C.
- Organization subpart
- No
- Enumeration date
- Jul 29, 2009
- Last updated
- Mar 8, 2012
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 #01768 (Doing Business As)
Practice location
3400 Lincoln HighwayOlympia Fields, IL 60461
Phone 708-748-6472 · Fax 708-748-6651
Mailing address
1 Cvs DrBox 1075 - Pharmacy Enrollments
Woonsocket, RI 02895-6146
Phone 401-765-1500 · Fax 401-770-7108
Authorized official
Susan F Colbert
Director, Payer Relations
4017702751
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