Meijer Pharmacy #122
LBN: Meijer Inc
Meijer Pharmacy #122 is an health care organization with primary practice located at 49900 Grand River Ave , Wixom MI 48393-3308. 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 (248) 449-8510, or through Beauch, Jason via phone (616) 791-3169.
Contact Information
Primary practice address
49900 Grand River Ave
Wixom MI 48393-3308
Phone: (248) 449-8510
Fax: (248) 449-8565
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Suppliers / Durable Medical Equipment & Medical Supplies | 332B00000X | 5301006446 | Michigan |
Suppliers / Community/Retail Pharmacy | 3336C0003X | 5301006446 | Michigan |
Profile Details
NPI number | 1902955321 |
---|---|
LBN Legal business name | Meijer Inc |
DBA Doing business as | Meijer Pharmacy #122 |
Authorized official | Beauch, Jason R.PH |
Entity | Organization |
Organization subpart 1 | No |
Enumeration date | Jan 9th, 2007 |
Last updated | Mar 19th, 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 | 1902955321 | NPPES |
Michigan | MEDICAID | 2355798 |
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