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Organization
MERIDIAN LONG TERM CARE PHARMACY
Active
Organization
MERIDIAN LONG TERM CARE PHARMACY
Active
Other names
MERIDIAN LONG TERM CARE PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
DON WALDRON RPH (OWNER)
(601) 693-1635
Entity
Organization
Contact information
Practice address
1313 22ND AVE, MERIDIAN, MS 39301-4012
(601) 693-1635
(601) 693-1621
Mailing address
1313 22ND AVE, MERIDIAN, MS 39301-4012
(601) 693-1635
(601) 693-1621
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
NULL
3336L0003X
Long Term Care Pharmacy
Primary
02205/2.3
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00030308
—
MS
01
—
2045421
PK
—
Enumeration date
07/30/2006
Last updated
09/19/2025
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