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General NPI Number Information
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NPI Number | 1427328459
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Entity Type | Organization
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Legal Business Name | HIGHLAND PHARMACY INC
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Dates
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Enumeration Date | 01/06/2012
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Last Update Date | 08/10/2016
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Provider Practice Location Address
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Address Line | 301 ROGERS RD
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City | GLASGOW
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State | KY
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Zip | 42141-4110
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Country | US
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Telephone | 270-629-4300
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Fax | 270-629-4303
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Provider Business Mailing Address
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Address Line | PO BOX 1778
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City | GLASGOW
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State | KY
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Zip | 42142-1778
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Country | US
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Telephone | 270-651-5159
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Fax | 270-651-5741
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Authorized Official
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Title or Position | MANAGER
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Name | STEVE JESSEE
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Credential |
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Telephone | 270-651-5159
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336L0003X
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Taxonomy Name | Long Term Care Pharmacy
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 3336C0004X
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Taxonomy Name | Compounding Pharmacy
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 333600000X
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Taxonomy Name | Pharmacy
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number | P07492
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License Number State | KY
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