Highland Park Cvs LLC

Organization Durable Medical Equipment & Medical Supplies · NPI 1821073156

Highland Park Cvs LLC is a Durable Medical Equipment & Medical Supplies in Metamora, Illinois. Licensed in Illinois. Registered with an NPI since 2005.

Licensed in: IL
In the registry since: 2005
Specialties on file: 3

What do these letters mean?

LLC — Limited liability company: A form of business registration, not a clinical qualification.

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Practice location Address checks out

117 W Mt Vernon
Metamora, IL 61548-7000
Phone: (309) 367-9701
Fax: (309) 367-2159

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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pharmacy (primary)	Taxonomy 333600000X
Durable Medical Equipment & Medical Supplies	Taxonomy 332B00000X
Community/Retail Pharmacy	Taxonomy 3336C0003X · Licence 054018987 (IL)

Record details

NPI number	1821073156
Entity type	Organization (Type 2)
Organization subpart	No
Authorized official	Susan Colbert — Sr. Director, Payer Relations · (401) 770-2751
Other names	Cvs Pharmacy #11205
NPI enumerated	December 9, 2005
Last updated in NPPES	May 25, 2023
Certification date	May 25, 2023
Mailing address	1 Cvs Drive, Box 1075, Woonsocket, RI 02895-6146