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General NPI Number Information
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NPI Number | 1104640242
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Entity Type | Organization
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Legal Business Name | MERIDIAN PHARMACY GROUP NW HIGHWAY INC
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Dates
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Enumeration Date | 11/14/2024
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Last Update Date | 11/15/2024
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Provider Practice Location Address
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Address Line | 1120 E PLEASANT RUN RD STE 405
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City | DESOTO
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State | TX
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Zip | 75115-3512
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Country | US
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Telephone | 214-333-1600
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Fax | 214-333-1609
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Provider Business Mailing Address
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Address Line | 1341 W MOCKINGBIRD LN STE 500W
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City | DALLAS
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State | TX
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Zip | 75247-6903
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Country | US
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Telephone | 214-951-0133
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Fax |
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Authorized Official
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Title or Position | COO
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Name | STEPHANIE HUGHEY
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Credential |
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Telephone | 214-951-0133
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336L0003X
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Taxonomy Name | Long Term Care Pharmacy
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License Number |
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License Number State |
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