Organization
HIGHLANDS ONCOLOGY GROUP, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KYLE P COOK RPH (PHARMACIST)
(479) 695-1199
Entity
Organization
Contact information
Practice address
3232 N NORTH HILLS BLVD, FAYETTEVILLE, AR 72703-4005
(479) 695-1199
(479) 695-1214
Mailing address
3232 N NORTH HILLS BLVD, FAYETTEVILLE, AR 72703-4005
(479) 695-1199
(479) 695-1214
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
AR20554
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100728270B
—
OK
05
—
163105407
—
AR
Enumeration date
01/26/2007
Last updated
08/02/2021
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