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NPI Code Detail

MEDICARE: HIGHLAND PHARMACY INC

MEDICARE: HIGHLAND PHARMACY INC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
13336L0003XLong Term Care Pharmacy

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1336861046
Entity Type Code : Organization
Provider Name (Legal Business Name) : HIGHLAND PHARMACY INC
Provider Business Mailing Address
First Line : 301 ROGERS RD
Second Line :
City : GLASGOW
State : KY
Zip : 42141-4110
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 301 ROGERS RD
Second Line :
City : GLASGOW
State : KY
Zip : 42141-4110
Country : US
Telephone Number : 270-629-4300
Fax Number :
Authorized Official
Title or Position : PRESIDENT
Name : TRAVIS HUDNALL
Credential :
Telephone Number : 270-629-4300
Provider Enumeration Date : 09/19/2022
Last Update Date : 03/03/2026

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Directions to “HIGHLAND PHARMACY INC ” Practice Location

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