Meijer Pharmacy #158
LBN: Meijer Inc
Meijer Pharmacy #158 is an health care organization with primary practice located at 1997 E Beltline Ave Ne , Grand Rapids MI 49525-4545. 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) 447-1510, or through Beauch, Jason via phone (616) 791-3169.
Contact Information
Primary practice address
1997 E Beltline Ave Ne
Grand Rapids MI 49525-4545
Phone: (616) 447-1510
Fax: (616) 447-1565
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Durable Medical Equipment & Medical Supplies | 332B00000X | 5301006610 | Michigan |
| Suppliers / Community/Retail Pharmacy | 3336C0003X | 5301006610 | Michigan |
Profile Details
| NPI number | 1649329244 |
|---|---|
| LBN Legal business name | Meijer Inc |
| DBA Doing business as | Meijer Pharmacy #158 |
| Authorized official | Beauch, Jason RPH |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jan 10th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1649329244 | NPPES |
| Michigan | MEDICAID | 2356877 |
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