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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
23336C0004XCompounding Pharmacy
3333600000XPharmacy
43336C0003XCommunity/Retail PharmacyP07492KY

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
12133395OTHERPK
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1427328459
Entity Type Code : Organization
Provider Name (Legal Business Name) : HIGHLAND PHARMACY INC
Provider Business Mailing Address
First Line : PO BOX 1778
Second Line :
City : GLASGOW
State : KY
Zip : 42142-1778
Country : US
Telephone Number : 270-651-5159
Fax Number : 270-651-5741
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 : 270-629-4303
Authorized Official
Title or Position : OWNER
Name : TRAVIS HUDNALL
Credential :
Telephone Number : 270-651-8359
Provider Enumeration Date : 01/06/2012
Last Update Date : 03/03/2026

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Directions to “HIGHLAND PHARMACY INC ” Practice Location

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