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General NPI Number Information
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NPI Number | 1528706785
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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 | 05/26/2022
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Last Update Date | 09/17/2024
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Provider Practice Location Address
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Address Line | 205 N. TILLOTSON AVENUE SUITE 100
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City | MUNCIE
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State | IN
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Zip | 47304-3900
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Country | US
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Telephone | 765-215-2029
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Fax | 765-876-2707
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Provider Business Mailing Address
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Address Line | 1620 W. NORTHWEST HWY SUITE 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 | 817-572-0009
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Fax | 817-572-0221
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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 | MBA, CPA
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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 | 333600000X
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Taxonomy Name | Pharmacy
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 3336S0011X
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Taxonomy Name | Specialty Pharmacy
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Taxonomy #3
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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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