Meijer Pharmacy #176

LBN: Meijer Great Lakes Limited Partnership
Meijer Pharmacy #176 is an health care organization with primary practice located at 4200 Conestoga Dr , Springfield IL 62711-7962. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Durable Medical Equipment & Medical Supplies, Suppliers / Community/Retail Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty. Meijer Great Lakes Limited Partnership can be contacted via phone (217) 547-2410, or through Beauch, Jason via phone (616) 791-3169.

Contact Information

Primary practice address
4200 Conestoga Dr Springfield IL 62711-7962
Phone: (217) 547-2410
Fax: (217) 547-2465
Website:
Map and Directions
Authorized official contact:
Name: Beauch, Jason RPH
Phone: (616) 791-3169

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X 054014283 Illinois
Suppliers / Community/Retail Pharmacy 3336C0003X 054014283 Illinois

Profile Details

NPI number 1013287853
LBN Legal business name Meijer Great Lakes Limited Partnership
DBA Doing business as Meijer Pharmacy #176
Authorized official Beauch, Jason RPH
Entity Organization
Organization subpart 1 No
Enumeration date Jan 11th, 2012
Last updated Mar 24th, 2014 - about 10 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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