Highland Clinic, A Prof Med Corp
Non-pharmacy Dispensing Site
1455 E Bert Kouns Industrial Loop # 101, Shreveport
Louisiana, 71105-5634
318-798-4493 318-798-4450
Highland Clinic, A Prof Med Corp is a Non-pharmacy Dispensing Site in Shreveport, Louisiana. It is located at 1455 E Bert Kouns Industrial Loop # 101, Shreveport and it's customer support contact number is 318-798-4493. The authorized person of Highland Clinic, A Prof Med Corp is Debbie W Smith who is Ceo of the pharmacy and his contact number is 318-798-4598. Highland Clinic, A Prof Med Corp accepts medicare which means medicare covered patients will not be billed for any more than the Medicare deductible and coinsurance.
Highland Clinic, A Prof Med Corp is a site other than a pharmacy that dispenses medicinal preparations under the supervision of a physician to patients for self-administration. (e.g. physician offices, ER, Urgent Care Centers, Rural Health Facilities, etc.)
Pharmacy Details:
Highland Clinic, A Prof Med Corp type, location, contact phone number and fax are as below. Patients can directly walkin to the pharmacy or can call on the below given customer support phone number for enquiries.
| Name: | Highland Clinic, A Prof Med Corp |
| Type: | Non-pharmacy Dispensing Site |
| Location: | 1455 E Bert Kouns Industrial Loop # 101, Shreveport,
Louisiana, 71105-5634 |
| Phone: | 318-798-4493 |
| Fax: | 318-798-4450 |
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints of this pharmacy is as below. Person's position and contact details are also mentioned below.
| Name: | Debbie W Smith |
| Position: | Ceo |
| Contact Number: | 318-798-4598 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details of given pharmacy are as mentioned below.
| NPI Number: | 1609297449 |
| NPI Enumeration Date: | 20 Dec, 2013 |
| NPI Last Update On: | 30 May, 2023 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Highland Clinic, A Prof Med Corp are as mentioned below.
| Specialization | License Number | State | Status | |
| Non-pharmacy Dispensing Site | | Louisiana | Primary | |
Medicare Enrollment:
Highland Clinic, A Prof Med Corp is enrolled in medicare and it's Pac Id, enrollment Id, registered name and type is as stated below.
| PAC ID: |
Enrollment ID: |
Org Name | Medicare Entity Type |
| 3870493463 | O20151222000700 | Highland Clinic, A Prof Med Corp | DME SUPPLIER - MULTI-SPECIALTY - PHYSICIAN |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | 1455 E Bert Kouns Industrial Loop,
Shreveport, Louisiana |
| Zip: | 71105-5634 |
| Phone Number: | 318-798-4539 |
| Fax Number: | 318-798-4601 |
Patients can reach Highland Clinic, A Prof Med Corp at
1455 E Bert Kouns Industrial Loop # 101, Shreveport, Louisiana or can
call on customer care at 318-798-4493.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.