Organization
HIGHLANDS COMMUNITY PHARMACY LLC
Active
Other names
Highlands Community Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
KEVIN EDWARDS (PHARMACIST IN CHARGE)
(832) 838-8560
Entity
Organization
Contact information
Practice address
607 E WALLISVILLE RD BLDG 1, HIGHLANDS, TX 77562-3831
(832) 838-8560
(832) 838-8468
Mailing address
607 E WALLISVILLE RD BLDG 1, HIGHLANDS, TX 77562-3831
(832) 838-8560
(832) 838-8468
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
30625
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
148363
—
TX
01
—
2158040
PK
—
Enumeration date
02/12/2016
Last updated
04/26/2016
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