HIGHLAND PARK CVS LLC
4843 Blue Stem Rd
Roscoe, IL 61073
815-623-1696
Taxonomy:
Primary | Code | Category/Description | State | License Number |
---|---|---|---|---|
N | 332B00000X | Suppliers - Durable Medical Equipment & Medical Supplies - | ||
N | 3336C0003X | Suppliers - Pharmacy | ||
Y | 333600000X | Suppliers - Pharmacy |
Other Provider Identifiers:
Issuer | Number | State | Type |
---|---|---|---|
OTHER ID NUMBER-COMMERCIAL NUMBER | 1479585 | OTHER | |
1952342826 | WI | MEDICAID |