NPI | 1093606808 |
---|---|
Doing Business As | MERIDIAN HEALTH RX - FT. WAYNE LAKE |
Entity Type | Organization |
Authorized Contact | SCOTT RIGGS CFO 765-254-5189 |
Organization Subpart ? | Yes |
Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
Enumeration Date | 2025-07-10 |
Last Update Date | 2025-07-10 |