# HIGHLAND PARK PHARMACY LLC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Other names:** REDMOND PHARMACY AND COMPOUNDING CENTER
- **Organization subpart:** No

## Provider details

- **NPI number:** 1356555460
- **Authorized official:** MIKE EDMONDSON RPH (OWNER)
- **Authorized official phone:** (541) 526-1771

## Contact information

- **Practice address:** 424 NW 5TH ST, REDMOND, OR 97756
- **Practice address phone:** (541) 526-1771
- **Practice address fax:** (541) 504-5476
- **Mailing address:** 424 NW 5TH STREET, REDMOND, OR 97756
- **Mailing address phone:** (541) 526-1771
- **Mailing address fax:** (541) 504-5476

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336C0003X | Community/Retail Pharmacy | RP0002394 | OR | Yes |
| 3336C0004X | Compounding Pharmacy | — | NULL | — |

## Other

- **Enumeration date:** 05/09/2007
- **Last updated:** 10/31/2014

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 2079550 | PK | — |
| 05 | — | 278755 | — | OR |