Meijer Pharmacy #184

LBN: Meijer Great Lakes Limited Partnership
Meijer Pharmacy #184 is an health care organization with primary practice located at 351 Meijer Way, Ste. 100 Suite 100, Lexington KY 40503-3339. 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 (859) 219-3710, or through Beauch, Jason via phone (616) 791-3169.

Contact Information

Primary practice address
351 Meijer Way, Ste. 100 Suite 100 Lexington KY 40503-3339
Fax: (859) 219-3765
Website:
Authorized official contact:
Name: Beauch, Jason R.PH

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X P06613 Kentucky
Suppliers / Community/Retail Pharmacy 3336C0003X P06613 Kentucky

Profile Details

NPI number 1578759163
LBN Legal business name Meijer Great Lakes Limited Partnership
DBA Doing business as Meijer Pharmacy #184
Authorized official Beauch, Jason R.PH
Entity Organization
Organization subpart 1 No
Enumeration date Sep 18th, 2007
Last updated Mar 26th, 2014 - about 11 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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Identifiers

StateTypeNumberIssuer
All States NPI 1578759163 NPPES
Kentucky MEDICAID 7100211660

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