Highland Park Cvs, L.l.c.

NPI #1306086624 in Chicago, Illinois

Provider Information

NPI Number: 1306086624
Entity Type: Organization
Organization Name: Highland Park Cvs, L.l.c.
Primary Specialty: Pharmacy
Enumeration Date: Feb 26, 2009
Last Updated: Oct 14, 2014

Practice Location

Address: 3615 N. CENTRAL AVE
City: Chicago
State: Illinois
ZIP Code: 60634
Phone: (401) 765-1500

Authorized Official

Name: CRISTIANA MAURICIO
Title: MGR PHCY ENROLLMENTS
Phone: (401) 765-1500

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Durable Medical Equipment & Medical Supplies	332B00000X
Pharmacy - Community/Retail Pharmacy — Community/Retail Pharmacy	3336C0003X
Pharmacy	333600000X	Primary

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