Provider Demographics
NPI:1841161981
Name:MERIDIAN PHARMACY GROUP NW HIGHWAY INC
Entity type:Organization
Organization Name:MERIDIAN PHARMACY GROUP NW HIGHWAY INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PARTNER/PHARMACIST
Authorized Official - Prefix:MS
Authorized Official - First Name:PAMELA
Authorized Official - Middle Name:
Authorized Official - Last Name:ASHU
Authorized Official - Suffix:
Authorized Official - Credentials:RPH
Authorized Official - Phone:817-937-6676
Mailing Address - Street 1:1341 W MOCKINGBIRD LN STE 500W
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75247-6903
Mailing Address - Country:US
Mailing Address - Phone:817-937-6676
Mailing Address - Fax:214-765-9240
Practice Address - Street 1:1120 E PLEASANT RUN RD STE 405
Practice Address - Street 2:
Practice Address - City:DESOTO
Practice Address - State:TX
Practice Address - Zip Code:75115-3512
Practice Address - Country:US
Practice Address - Phone:214-333-1600
Practice Address - Fax:214-333-1609
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:MERIDIAN PHARMACY GROUP NW HIGHWAY INC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2025-09-12
Last Update Date:2025-09-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336L0003XSuppliersPharmacyLong Term Care Pharmacy