National Provider Identifier Database

HIGHLAND PARK CVS LLC
Pharmacy

A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located.


Contact Information

HIGHLAND PARK CVS LLC
3100 S. MAC ARTHUR BLVD.
SPRINGFIELD, IL62704
Phone: 217-528-4926
Fax:
Website:
Specialty Taxonomy Code
* Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X
Durable Medical Equipment & Medical Supplies 332B00000X

* Indicates primary specialty

NPI Profile & details for HIGHLAND PARK CVS LLC

NPI Number 1881636074
Legal business name
LBN
HIGHLAND PARK CVS LLC
Authorized official CRISTIANA MAURICIO - (MANAGER PHARMACY ENROLLMENTS)
Entity Organization
Organization subpart No
Enumeration date 06/12/2006
Last updated 10/17/2014 - About 12 years ago
Sole proprietor1 Not specified
Identifiers
  • Other: 1479155 OTHER ID NUMBER-COMMERCIAL NUMBER

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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