Meijer Pharmacy #166

LBN: Meijer Great Lakes Limited Partnership
Meijer Pharmacy #166 is an health care organization with primary practice located at 9500 Preston Hwy , Louisville KY 40229-1166. 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 (502) 962-3710, or through Beauch, Jason via phone (616) 791-3169.

Contact Information

Primary practice address
9500 Preston Hwy Louisville KY 40229-1166
Phone: (502) 962-3710
Fax: (502) 962-3765
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 P06545 Kentucky
Suppliers / Community/Retail Pharmacy 3336C0003X P06545 Kentucky

Profile Details

NPI number 1861688459
LBN Legal business name Meijer Great Lakes Limited Partnership
DBA Doing business as Meijer Pharmacy #166
Authorized official Beauch, Jason RPH
Entity Organization
Organization subpart 1 No
Enumeration date Sep 18th, 2007
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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Identifiers

StateTypeNumberIssuer
All States NPI 1861688459 NPPES
Kentucky MEDICAID 7100211700

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