Meijer Pharmacy #196

LBN: Meijer Inc
Meijer Pharmacy #196 is an health care organization with primary practice located at 8850 Shaver Rd , Portage MI 49024-6155. 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 (269) 321-4310, or through Beauch, Jason via phone (616) 791-3169.

Contact Information

Primary practice address
8850 Shaver Rd Portage MI 49024-6155
Phone: (269) 321-4310
Fax: (269) 321-4365
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 5301007330 Michigan
Suppliers / Community/Retail Pharmacy 3336C0003X 5301007330 Michigan

Profile Details

NPI number 1801942560
LBN Legal business name Meijer Inc
DBA Doing business as Meijer Pharmacy #196
Authorized official Beauch, Jason RPH
Entity Organization
Organization subpart 1 No
Enumeration date Jan 26th, 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 1801942560 NPPES
Michigan MEDICAID 2362111

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