Meijer Pharmacy #055

LBN: Meijer Inc
Meijer Pharmacy #055 is an health care organization with primary practice located at 36600 Van Dyke Ave , Sterling Heights MI 48312-2766. 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 (586) 274-1610, or through Beauch, Jason via phone (616) 791-3169.

Contact Information

Primary practice address
36600 Van Dyke Ave Sterling Heights MI 48312-2766
Fax: (586) 274-1665
Website:
Authorized official contact:
Name: Beauch, Jason RPH

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X 5301004392 Michigan
Suppliers / Community/Retail Pharmacy 3336C0003X 5301004392 Michigan

Profile Details

NPI number 1821138306
LBN Legal business name Meijer Inc
DBA Doing business as Meijer Pharmacy #055
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 1821138306 NPPES
Michigan MEDICAID 2340406

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