Organization
HIGHLANDS ONCOLOGY GROUP PA
Active
Other names
Highlands Oncology Group dba Highlands Pharmacy, Highlands Pharmacy - BCC
Organization subpart
No
Provider details
NPI number
Authorized official
TERESA NAGY (CREDENTIALING COORDINATOR)
(479) 313-6888
Entity
Organization
Contact information
Practice address
808 S 52ND ST, ROGERS, AR 72758-8602
(479) 878-1818
(479) 878-1819
Mailing address
3232 N NORTHHILLS BLVD, FAYETTEVILLE, AR 72703-4005
(479) 587-1700
(479) 587-1366
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
AR20654
AR
3336C0004X
Compounding Pharmacy
—
—
3336S0011X
Specialty Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100728270E
—
OK
05
—
187612407
—
AR
01
—
2130579
PK
—
Enumeration date
06/06/2011
Last updated
05/24/2023
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