Provider Demographics
NPI:1457236515
Name:MERIDIAN PHARMACY GROUP AT LANCASTER LLC
Entity type:Organization
Organization Name:MERIDIAN PHARMACY GROUP AT LANCASTER LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PARTNER/PHARMACIST
Authorized Official - Prefix:
Authorized Official - First Name:PAMELA
Authorized Official - Middle Name:
Authorized Official - Last Name:ASHU
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:817-937-6676
Mailing Address - Street 1:1341 W MOCKINGBIRD LN STE 500 W
Mailing Address - Street 2:1341 W MOCKINGBIRD LN
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75247-7524
Mailing Address - Country:US
Mailing Address - Phone:817-937-6676
Mailing Address - Fax:214-765-9240
Practice Address - Street 1:2505 W BELT LINE RD
Practice Address - Street 2:
Practice Address - City:LANCASTER
Practice Address - State:TX
Practice Address - Zip Code:75146-1930
Practice Address - Country:US
Practice Address - Phone:214-951-0133
Practice Address - Fax:214-765-9240
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-08-07
Last Update Date:2025-08-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes333600000XSuppliersPharmacyGroup - Single Specialty