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General NPI Number Information
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NPI Number | 1093606808
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Entity Type | Organization
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Legal Business Name | MERIDIAN HEALTH RX LLC
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Dates
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Enumeration Date | 07/10/2025
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Last Update Date | 07/10/2025
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Provider Practice Location Address
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Address Line | 2622 LAKE AVE STE 102
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City | FORT WAYNE
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State | IN
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Zip | 46805-5410
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Country | US
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Telephone | 260-399-3809
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Fax | 260-800-5754
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Provider Business Mailing Address
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Address Line | 1620 W NORTHWEST HWY STE 100
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City | GRAPEVINE
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State | TX
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Zip | 76051-3219
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | CFO
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Name | SCOTT RIGGS
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Credential |
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Telephone | 765-254-5189
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number |
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License Number State |
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