MEDICARE: MERIDIAN PHARMACY GROUP NW HIGHWAY INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	333600000X	Pharmacy
2	3336C0003X	Community/Retail Pharmacy	23157	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	2097198	OTHER		PK
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1659432474
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MERIDIAN PHARMACY GROUP NW HIGHWAY INC

Provider Business Mailing Address
First Line	:	1341 W MOCKINGBIRD LN STE 500
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75247-6913
Country	:	US
Telephone Number	:	214-951-0133
Fax Number	:	214-951-0155

Provider Business Practice Location Address
First Line	:	1120 E PLEASANT RUN RD STE 405
Second Line	:
City	:	DESOTO
State	:	TX
Zip	:	75115-3512
Country	:	US
Telephone Number	:	214-333-1600
Fax Number	:	214-333-1609

Authorized Official
Title or Position	:	PHARMACIST
Name	:	PAMELA ASHU
Credential	:
Telephone Number	:	214-765-9238

Provider Enumeration Date	:	12/13/2006
Last Update Date	:	11/15/2024

Similar Medicare Providers

1104640242 — MERIDIAN PHARMACY GROUP NW HIGHWAY INC
Practice Location Address:

1120 E PLEASANT RUN RD STE 405
DESOTO, TX
75115-3512

Practice Phone: 214-333-1600
Practice Fax: 214-333-1609

1841161981 — MERIDIAN PHARMACY GROUP NW HIGHWAY INC
Practice Location Address:

1120 E PLEASANT RUN RD STE 405
DESOTO, TX
75115-3512

Practice Phone: 214-333-1600
Practice Fax: 214-333-1609

1871424440 — BRANDY LEMETRIA HENDERSON COSMETOLOGIST
Practice Location Address:

1229 E PLEASANT RUN RD
DESOTO, TX
75115-4209

Practice Phone: 469-799-7306
Practice Fax:

1932030467 — LAKESHA WHITLEY
Practice Location Address:

608 SPICEWOOD DR
DESOTO, TX
75115-1497

Practice Phone: 469-337-0040
Practice Fax: 469-337-0040

1760313878 — CHRISTIAN DIAZ
Practice Location Address:

2716 TRAVIS DR
DESOTO, TX
75115-2089

Practice Phone: 817-375-5246
Practice Fax:

1659906576 — TANITOLUWA BANKALE
Practice Location Address:

1801 N HAMPTON RD
DESOTO, TX
75115-2391

Practice Phone: 469-218-6800
Practice Fax:

Directions to “MERIDIAN PHARMACY GROUP NW HIGHWAY INC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.