# MERIDIAN PHARMACY GROUP NW HIGHWAY INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1104640242
- **Authorized official:** STEPHANIE HUGHEY (COO)
- **Authorized official phone:** (214) 951-0133

## Contact information

- **Practice address:** 1120 E PLEASANT RUN RD STE 405, DESOTO, TX 75115-3512
- **Practice address phone:** (214) 333-1600
- **Practice address fax:** (214) 333-1609
- **Mailing address:** 1341 W MOCKINGBIRD LN STE 500W, DALLAS, TX 75247-6903
- **Mailing address phone:** (214) 951-0133

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336L0003X | Long Term Care Pharmacy | — | NULL | Yes |

## Other

- **Enumeration date:** 11/14/2024
- **Last updated:** 11/15/2024