Organization
MERIDIAN PHARMACY LLC
Active
Organization
MERIDIAN PHARMACY LLC
Active
Other names
Meridian Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
CHERIAN CHERIAN (MANAGER/OWNER)
(813) 404-5691
Entity
Organization
Contact information
Practice address
4202 W WATERS AVE STE 2, TAMPA, FL 33614-1972
(813) 374-0395
(813) 605-5860
Mailing address
4202 W WATERS AVE STE 2, TAMPA, FL 33614-1972
(813) 374-0395
(813) 605-5860
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
PH29042
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
015127200
—
FL
01
—
2152480
PK
—
Enumeration date
06/18/2015
Last updated
03/31/2017
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