OrganizationHighland Specialty Pharmacy LlcPharmacySuppliersPractice Address10 C Ainsworth Dr, Hattiesburg, MS 39402-1869(601) 268-6033PECOS EnrollmentBased on the most recent information from CMS, provider Highland Specialty Pharmacy Llc does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records yesterday at 11:47 AM.Profile DetailsProvider ID1679833404Provider TypeOrganizationFull NameHighland Specialty Pharmacy LlcSubpartNoEnumeration Date5/28/2012Last Updated11/25/2024Contact InformationPractice LocationPractice Address10 C Ainsworth Dr, Hattiesburg, MS 39402-1869Phone(601) 268-6033Fax(601) 268-6690Mailing LocationMailing Address10 C Ainsworth Dr, Hattiesburg, MS 39402-1869Phone(601) 268-6033Fax(601) 268-6690Authorized OfficialNamePierce, William C (Pharmacist In Charge)Phone(601) 268-6033Provider TaxonomiesCodeDescriptionLicenseCode3336C0003XPrimaryDescriptionPharmacySuppliersLicenseF11403MississippiCode3336C0004XDescriptionPharmacySuppliersLicenseUnlisted IssuerCode3336M0002XDescriptionPharmacySuppliersLicenseUnlisted IssuerProvider IdentifiersIDDescriptionIssuerID2588842DescriptionOtherIssuerNCPDP PROVIDER IDENTIFICATION NUMBER