Highland Park Cvs LLC

NPI #1770526154 in Chicago, Illinois

Provider Information

NPI Number: 1770526154
Entity Type: Organization
Organization Name: Highland Park Cvs LLC
Primary Specialty: Pharmacy
Enumeration Date: Jun 14, 2006
Last Updated: Oct 17, 2014

Practice Location

Address: 3940 W FULLERTON AVE
City: Chicago
State: Illinois
ZIP Code: 60647-2244
Phone: (773) 486-0343

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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