HIGHLAND PARK CVS LLC
6748 W 111th St
Worth, IL 60482
708-361-9701
Taxonomy:
Primary | Code | Category/Description | State | License Number |
---|---|---|---|---|
N | 3336C0003X | Suppliers - Pharmacy - Community/Retail Pharmacy | ||
Y | 333600000X | Suppliers - Pharmacy |
Other Provider Identifiers:
Issuer | Number | State | Type |
---|---|---|---|
MEDICARE RR | P00754411 | IL | OTHER |
OTHER ID NUMBER-COMMERCIAL NUMBER | 1479511 | OTHER |