Highland Park Cvs LLC

NPI #1720029697 in Chicago, Illinois

Provider Information

NPI Number: 1720029697
Entity Type: Organization
Organization Name: Highland Park Cvs LLC
Primary Specialty: Pharmacy
Enumeration Date: Jun 9, 2006
Last Updated: Feb 1, 2021

Practice Location

Address: 3637 N SOUTHPORT AVE
City: Chicago
State: Illinois
ZIP Code: 60613-3709
Phone: (773) 348-5282

Authorized Official

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

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacy - Community/Retail Pharmacy — Community/Retail Pharmacy	3336C0003X
Pharmacy	333600000X	Primary

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