Organization
SPECIALTY RX
Active
Other names
Highland Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID L FUNG (AUTHORIZED AGENT)
(813) 244-9882
Entity
Organization
Contact information
Practice address
2604 50TH STREET, LUBBOCK, TX 79413
(806) 701-5111
Mailing address
2604 50TH ST, LUBBOCK, TX 79413-4537
(806) 701-5111
(855) 701-5181
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
31272
TX
3336C0004X
Compounding Pharmacy
—
—
3336S0011X
Specialty Pharmacy
Primary
—
—
Other
Enumeration date
02/22/2017
Last updated
08/30/2023
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