Healthcare Provider Details

I. General information

NPI: 1316856495
Provider Name (Legal Business Name): LANDON HIGHT PHARM.D
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/03/2026
Last Update Date: 09/03/2026
Certification Date: 09/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3215 N NORTHHILLS BLVD
FAYETTEVILLE AR
72703-4007
US

IV. Provider business mailing address

2042 N BUCKLEY DR
FAYETTEVILLE AR
72701-3054
US

V. Phone/Fax

Practice location:
  • Phone: 479-463-1102
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number12376
License Number StateAR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: