Organization
HIGHLANDER PHARMACY LLC
Active
Organization
HIGHLANDER PHARMACY LLC
Active
Other names
Cypress Point Rx
Organization subpart
No
Provider details
NPI number
Authorized official
TAMMIE MISKIMINS (MANAGER, PHARMACY LICENSING/CONTRAC)
(817) 572-0009
Entity
Organization
Contact information
Practice address
2225 VATICAN LN, DALLAS, TX 75224-4719
(817) 375-2036
(214) 467-8164
Mailing address
5500 E LOOP 820 S, SUITE 102, FORT WORTH, TX 76119-6569
(817) 572-0009
(817) 720-1039
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
30016
TX
3336C0004X
Compounding Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2153493
PK
—
Enumeration date
09/25/2006
Last updated
10/19/2015
Update your record
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