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MERIDIAN LONG TERM CARE PHARMACY NPI 1073528618


NPI Information

NPI: 1073528618
Provider Name: MERIDIAN LONG TERM CARE PHARMACY

Doing Business As: MERIDIAN LONG TERM CARE PHARMACY

Classification: Pharmacy - 3336L0003X
Entity Type: Organization

Specialization: Long Term Care Pharmacy

Address:
1313 22ND AVE
MERIDIAN, MS
ZIP 39301
Phone: (601) 693-1635
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MERIDIAN LONG TERM CARE PHARMACY is a long term care pharmacy pharmacy in Meridian, MS. The provider is a pharmacy that dispenses medicinal preparations delivered to patients residing within an intermediate or skilled nursing facility, including intermediate care facilities, hospice, assisted living facilities, group homes, and other forms of congregate living arrangements. MERIDIAN LONG TERM CARE PHARMACY NPI is 1073528618. The provider is registered as an organization entity type.
The provider Is Doing Business As Meridian Long Term Care Pharmacy.

The provider's business location address is:

1313 22ND AVE
MERIDIAN, MS
ZIP 39301-012
Phone: (601) 693-1635
Fax: (601) 693-1621

The provider's authorized official is Don Waldron .
The authorized official title is Owner and has the following contact phone number (601) 693-1635.

The enumeration date for this NPI number is 7/30/2006 and was last updated on 7/19/2018.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1333600000XPharmacyNo
23336L0003XPharmacyLong Term Care Pharmacy02205/2.3MISSISSIPPIYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
12045421OTHERPK
200030308MEDICAIDMISSISSIPPI

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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