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.
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 PharmacyCommunity/Retail Pharmacy
Pharmacy

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