| NPI | 1104365295 |
|---|---|
| Doing Business As | HIGHLAND PHARMACY |
| Entity Type | Organization |
| Authorized Contact | DAVID L FUNG Authorized Agent 813-244-9882 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336S0011X Pharmacy, Specialty Pharmacy |
| Additional Taxonomies | 333600000X Pharmacy |
| 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: TX 31272) | |
| 3336C0004X Pharmacy, Compounding Pharmacy | |
| Enumeration Date | 2017-02-22 |
| Last Update Date | 2023-08-30 |