Meridian Long Term Care Pharmacy

LBN: Meridian Long Term Care Pharmacy
Meridian Long Term Care Pharmacy is an health care organization with primary practice located at 1313 22Nd Ave , Meridian MS 39301-4012. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Long Term Care Pharmacy. Suppliers / Long Term Care Pharmacy is the primary health care specialty. Meridian Long Term Care Pharmacy can be contacted via phone (601) 693-1635, or through Waldron, Don via phone (601) 693-1635.

Contact Information

Primary practice address
1313 22Nd Ave Meridian MS 39301-4012
Fax: (601) 693-1621
Website:
Authorized official contact:
Name: Waldron, Don RPH

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Long Term Care Pharmacy 3336L0003X 02205/2.3 Mississippi

Profile Details

NPI number 1073528618
LBN Legal business name Meridian Long Term Care Pharmacy
DBA Doing business as Meridian Long Term Care Pharmacy
Authorized official Waldron, Don RPH
Entity Organization
Organization subpart 1 No
Enumeration date Jul 30th, 2006
Last updated Jul 19th, 2018 - about 6 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1073528618 NPPES
Mississippi MEDICAID 00030308
Mississippi Other 2045421

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