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Organization
MERIDIAN MEDS, LLC
Active
Organization
MERIDIAN MEDS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRETT CLARK JOHNSON PH.D. (PRESIDENT)
(801) 331-8291
Entity
Organization
Contact information
Practice address
220 N 1200 E, SUITE 104, LEHI, UT 84043-5862
(801) 331-8291
(801) 331-8037
Mailing address
220 N 1200 E, SUITE 104, LEHI, UT 84043-5862
(801) 331-8291
(801) 331-8037
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
—
NULL
183500000X
Pharmacist
—
—
3336L0003X
Long Term Care Pharmacy
Primary
8455352-1704
UT
Other
Enumeration date
11/15/2012
Last updated
09/22/2017
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