Meijer Pharmacy #063

LBN: Meijer Inc
Meijer Pharmacy #063 is an health care organization with primary practice located at 30800 Little Mack Ave , Roseville MI 48066-1700. 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) 415-6110, or through Beauch, Jason via phone (616) 791-3169.

Contact Information

Primary practice address
30800 Little Mack Ave Roseville MI 48066-1700
Phone: (586) 415-6110
Fax: (586) 415-6165
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 5301005162 Michigan
Suppliers / Community/Retail Pharmacy 3336C0003X 5301005162 Michigan

Profile Details

NPI number 1831239334
LBN Legal business name Meijer Inc
DBA Doing business as Meijer Pharmacy #063
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 1831239334 NPPES
Michigan MEDICAID 2345002

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