Meijer Pharmacy #173

LBN: Meijer Inc
Meijer Pharmacy #173 is an health care organization with primary practice located at 5645 Jackson Rd , Ann Arbor MI 48103-9504. 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 Inc can be contacted via phone (734) 222-0310, or through Beauch, Jason via phone (616) 791-3169.

Contact Information

Primary practice address
5645 Jackson Rd Ann Arbor MI 48103-9504
Phone: (734) 222-0310
Fax: (734) 222-0365
Website:
Map and Directions
Authorized official contact:
Name: Beauch, Jason R.PH
Phone: (616) 791-3169

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X 5301007328 Michigan
Suppliers / Community/Retail Pharmacy 3336C0003X 5301007328 Michigan

Profile Details

NPI number 1083764385
LBN Legal business name Meijer Inc
DBA Doing business as Meijer Pharmacy #173
Authorized official Beauch, Jason R.PH
Entity Organization
Organization subpart 1 No
Enumeration date Jan 11th, 2007
Last updated Mar 24th, 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 1083764385 NPPES
Michigan MEDICAID 2362072

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