Highland Park Cvs LLC

NPI #1154363349 in Decatur, Illinois

Provider Information

NPI Number
1154363349
Entity Type
Organization
Organization Name
Highland Park Cvs LLC
Primary Specialty
Pharmacy
Enumeration Date
Jun 12, 2006
Last Updated
Oct 17, 2014

Practice Location

Address
1595 E CANTRELL ST
ZIP Code
62521-3515
Phone
(217) 429-4248

Authorized Official

Name
CRISTIANA MAURICIO
Title
MANAGER PHARMACY ENROLLMENTS
Phone
(401) 770-2937

Specialties & Taxonomy Codes

Specialty
Pharmacy - Community/Retail PharmacyCommunity/Retail Pharmacy
Pharmacy

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