Meijer Pharmacy #279

LBN: Meijer, Inc.
Meijer Pharmacy #279 is an health care organization with primary practice located at 15 Caberfae Hwy M-55 , Manistee MI 49660-1109. 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 (231) 887-5210, or through Beauch, Jason via phone (616) 791-3169.

Contact Information

Primary practice address
15 Caberfae Hwy M-55 Manistee MI 49660-1109
Phone: (231) 887-5210
Fax: (231) 887-5165
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 Michigan
Suppliers / Community/Retail Pharmacy 3336C0003X Michigan

Profile Details

NPI number 1265825574
LBN Legal business name Meijer, Inc.
DBA Doing business as Meijer Pharmacy #279
Authorized official Beauch, Jason R.PH
Entity Organization
Organization subpart 1 No
Enumeration date Mar 11th, 2015
Last updated Jun 3rd, 2015 - about 9 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 1265825574 NPPES
Michigan MEDICAID 1265825574

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