Meijer Pharmacy #311

LBN: Meijer Inc
Meijer Pharmacy #311 is an health care organization with primary practice located at 1540 28Th St Se , Grand Rapids MI 49508-1412. 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) 248-2610, or through Beauch, Jason via phone (616) 791-3169.

Contact Information

Primary practice address
1540 28Th St Se Grand Rapids MI 49508-1412
Phone: (616) 248-2610
Fax: (616) 248-2665
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 5301000479 Michigan
Suppliers / Community/Retail Pharmacy 3336C0003X 5301000479 Michigan

Profile Details

NPI number 1821137126
LBN Legal business name Meijer Inc
DBA Doing business as Meijer Pharmacy #311
Authorized official Beauch, Jason RPH
Entity Organization
Organization subpart 1 No
Enumeration date Feb 5th, 2007
Last updated Mar 25th, 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 1821137126 NPPES
Michigan MEDICAID 2302393

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