Kankakee Il Cvs LLC

NPI #1578504445 in Kankakee, Illinois

Provider Information

NPI Number
1578504445
Entity Type
Organization
Organization Name
Kankakee Il Cvs LLC
Primary Specialty
Pharmacy
Enumeration Date
Jun 9, 2006
Last Updated
Sep 11, 2025

Practice Location

Address
420 S WASHINGTON AVE
ZIP Code
60901-3744
Phone
(815) 939-3130

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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