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Organization

HIGHLAND CLINIC PHARMACY, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DEBBIE W. SMITH (ADMINISTRATOR/CEO)
(318) 798-4539
Entity
Organization

Contact information

Practice address
1455 E BERT KOUNS INDUSTRIAL LOOP, SHREVEPORT, LA 71105-5634
(318) 798-4612
(318) 798-4615
Mailing address
PO BOX 51455, SHREVEPORT, LA 71135-1455
(318) 798-4612
(318) 798-4615

Taxonomy

Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
C004738-IR
LA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1274801
LA
Enumeration date
07/07/2005
Last updated
10/13/2025
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