Organization
HIGHLAND PARK PHARMACY INC
Active
Other names
HIGHLAND PARK PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
LEE TREADWAY (PIC)
(214) 521-2126
Entity
Organization
Contact information
Practice address
3229 KNOX ST, DALLAS, TX 75205-4031
(214) 521-2126
(214) 521-2128
Mailing address
3229 KNOX ST, DALLAS, TX 75205-4031
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
25179
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
143977
—
TX
01
—
4517477
OTHER ID NUMBER
—
Enumeration date
02/15/2007
Last updated
09/12/2007
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