Highland Park Cvs LLC
NPI #1881636074 in Springfield, Illinois
Provider Information
- NPI Number
- 1881636074
- Entity Type
- Organization
- Organization Name
- Highland Park Cvs LLC
- Primary Specialty
- Pharmacy
- Enumeration Date
- Jun 12, 2006
- Last Updated
- Oct 17, 2014
Practice Location
- Address
- 3100 S. MAC ARTHUR BLVD.
- City
- Springfield
- State
- Illinois
- ZIP Code
- 62704
- Phone
- (217) 528-4926
Authorized Official
- Name
- CRISTIANA MAURICIO
- Title
- MANAGER PHARMACY ENROLLMENTS
- Phone
- (401) 770-2937
Specialties & Taxonomy Codes
| Specialty |
|---|
| Durable Medical Equipment & Medical Supplies |
| Pharmacy - Community/Retail Pharmacy — Community/Retail Pharmacy |
| Pharmacy |
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| Highland Park Cvs, L.l.c. |
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