Meijer Pharmacy #050

LBN: Meijer Inc
Meijer Pharmacy #050 is an health care organization with primary practice located at 5531 28Th St Se , Grand Rapids MI 49512-2053. 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 (616) 954-6010, or through Beauch, Jason via phone (616) 791-3169.

Contact Information

Primary practice address
5531 28Th St Se Grand Rapids MI 49512-2053
Phone: (616) 954-6010
Fax: (616) 954-6085
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 5301003938 Michigan
Suppliers / Community/Retail Pharmacy 3336C0003X 5301003938 Michigan

Profile Details

NPI number 1578603031
LBN Legal business name Meijer Inc
DBA Doing business as Meijer Pharmacy #050
Authorized official Beauch, Jason RPH
Entity Organization
Organization subpart 1 No
Enumeration date Feb 7th, 2007
Last updated Mar 17th, 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 1578603031 NPPES
Michigan MEDICAID 2336318

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