Highland Park Cvs LLC

NPI #1285675157 in Champaign, Illinois

Provider Information

NPI Number
1285675157
Entity Type
Organization
Organization Name
Highland Park Cvs LLC
Primary Specialty
Pharmacy
Enumeration Date
Jun 9, 2006
Last Updated
Oct 17, 2014

Practice Location

Address
107 W GREEN ST
ZIP Code
61820-5213
Phone
(217) 355-8123

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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