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Highland Park Cvs Llc

Highland Park Cvs Llc is a health care provider in Woonsocket, RI. In this page you will find its mailing address, practice location, phone number, specialty etc.

physician-icon Basic Information

Practice Location 6748 W 111th St, Worth, IL 60482-1912, US
Practice Location Phone708-361-9701
Practice Location Fax
Legal Business NameHIGHLAND PARK CVS LLC
Other Organization NameCVS PHARMACY # 08505
Other Organization Name TypeDoing Business As Name
NPI ?1407897374
Entity TypeOrganization
Enumeration Date ? Jun 9, 2006
Last Update Date ? Oct 16, 2014
Note:
NPI: National Provider Identifier issued to health care providers by Centers for Medicare and Medicaid Services (CMS).

specialty-icon Specialties & Licenses of Highland Park Cvs Llc

SpecialtySpecializationLicenseLicense State
Pharmacy
PharmacyCommunity/Retail Pharmacy

legacy-id-icon Legacy Provider IDs of Highland Park Cvs Llc

Provider IdIssuer StateIssuer TypeIssuer
1479511OtherOTHER ID NUMBER-COMMERCIAL NUMBER
P00754411IllinoisOtherMEDICARE RR

official-icon Authorized Official of Highland Park Cvs Llc

An authorized official is an appointed official with the legal authority to make changes and/or updates to the Highland Park Cvs Llc's status and to commit the provider to fully abide by the laws and regulations relating to the National Provider Identifier (NPI).

Authorized Official Cristiana Mauricio
Authorized Official Title/PositionMANAGER PHARMACY ENROLLMENTS
Authorized Official Phone Number401-770-2937