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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
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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