Organization
HIGHLAND PHARMACY LLC
Active
Other names
Highland Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
NEIL MEHTA (OWNER)
(248) 977-1394
Entity
Organization
Contact information
Practice address
4000 HIGHLAND RD, STE 113, WATERFORD, MI 48328-2167
(248) 977-1394
(248) 977-1395
Mailing address
4000 HIGHLAND RD, STE 113, WATERFORD, MI 48328-2167
(248) 977-1394
(248) 977-1395
Taxonomy
Speciality
Code
Description
License number
State
261QI0500X
Infusion Therapy Clinic/Center
5301009009
MI
261QM1300X
Multi-Specialty Clinic/Center
5301009009
MI
332B00000X
Durable Medical Equipment & Medical Supplies
5301009009
MI
3336C0003X
Community/Retail Pharmacy
Primary
5301009009
MI
3336C0004X
Compounding Pharmacy
—
—
3336L0003X
Long Term Care Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2118084
PK
—
05
—
6030654
—
MI
Enumeration date
12/05/2008
Last updated
11/11/2024
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