# MERIDIAN LONG TERM CARE PHARMACY

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Other names:** MERIDIAN LONG TERM CARE PHARMACY
- **Organization subpart:** No

## Provider details

- **NPI number:** 1073528618
- **Authorized official:** DON WALDRON RPH (OWNER)
- **Authorized official phone:** (601) 693-1635

## Contact information

- **Practice address:** 1313 22ND AVE, MERIDIAN, MS 39301-4012
- **Practice address phone:** (601) 693-1635
- **Practice address fax:** (601) 693-1621
- **Mailing address:** 1313 22ND AVE, MERIDIAN, MS 39301-4012
- **Mailing address phone:** (601) 693-1635
- **Mailing address fax:** (601) 693-1621

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 333600000X | Pharmacy | — | NULL | — |
| 3336L0003X | Long Term Care Pharmacy | 02205/2.3 | MS | Yes |

## Other

- **Enumeration date:** 07/30/2006
- **Last updated:** 09/19/2025

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 00030308 | — | MS |
| 01 | — | 2045421 | PK | — |