Organization
HIGHLAND PARK CVS LLC
Active
Other names
CVS PHARMACY 01170
Organization subpart
No
Provider details
NPI number
Authorized official
CRISTIANA MAURICIO (MGR PHCY ENROLLMENTS)
(401) 770-2937
Entity
Organization
Contact information
Practice address
3200 CATON FARM, JOLIET, IL 60431
(815) 267-8130
Mailing address
1 CVS DR, PO BOX 1075, WOONSOCKET, RI 02895-6146
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
54016010
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1479838
OTHER ID NUMBER-COMMERCIAL NUMBER
—
Enumeration date
09/20/2006
Last updated
10/08/2014
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