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Organization
HIGHLAND SPECIALTY PHARMACY LLC
Active
Organization
HIGHLAND SPECIALTY PHARMACY LLC
Active
Other names
Highland Specialty Pharmacy LLC
Organization subpart
No
Provider details
NPI number
Authorized official
WILLIAM C PIERCE PHARMD (PHARMACIST IN CHARGE)
(601) 268-6033
Entity
Organization
Contact information
Practice address
10 C AINSWORTH DR, HATTIESBURG, MS 39402-1869
(601) 268-6033
(601) 268-6690
Mailing address
10 C AINSWORTH DR, HATTIESBURG, MS 39402-1869
(601) 268-6033
(601) 268-6690
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
F11403
MS
3336C0004X
Compounding Pharmacy
—
NULL
3336M0002X
Mail Order Pharmacy
—
NULL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2588842
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
05/28/2012
Last updated
11/25/2024
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