# MELADIMAA PHARMACY LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Baggett Pharmacy
- **Organization subpart:** No

## Provider details

- **NPI number:** 1609506161
- **Authorized official:** SCOTT LOUDERBACK (MANAGING MEMBER)
- **Authorized official phone:** (402) 488-1184

## Contact information

- **Practice address:** 2100 W WALNUT HILL LN STE 125A, IRVING, TX 75038-3220
- **Practice address phone:** (945) 279-6540
- **Practice address fax:** (945) 279-6541
- **Mailing address:** 300 S 68TH STREET PL STE 501, LINCOLN, NE 68510-2475
- **Mailing address phone:** (402) 488-1184

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332B00000X | Durable Medical Equipment & Medical Supplies | — | NULL | — |
| 333600000X | Pharmacy | — | NULL | — |
| 3336L0003X | Long Term Care Pharmacy | — | NULL | Yes |
| 3336S0011X | Specialty Pharmacy | — | NULL | — |

## Other

- **Enumeration date:** 06/16/2022
- **Last updated:** 01/15/2026