Organization
HIGHLAND PHARMACY INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TRAVIS HUDNALL R.PH (OWNER)
(270) 651-5159
Entity
Organization
Contact information
Practice address
301 ROGERS RD, GLASGOW, KY 42141-4110
(270) 629-4300
Mailing address
PO BOX 1778, GLASGOW, KY 42142-1778
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
P07492
KY
332BP3500X
Parenteral & Enteral Nutrition Supplies (DME)
P07492
KY
332BX2000X
Oxygen Equipment & Supplies (DME)
P07492
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100186050
—
KY
Enumeration date
12/23/2013
Last updated
12/23/2013
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