Meijer Pharmacy #139

LBN: Meijer Stores Limited Partnership
Meijer Pharmacy #139 is an health care organization with primary practice located at 6260 W Mcgalliard Rd , Muncie IN 47304-9413. 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 Stores Limited Partnership can be contacted via phone (765) 281-7810, or through Beauch, Jason via phone (616) 791-3169.

Contact Information

Primary practice address
6260 W Mcgalliard Rd Muncie IN 47304-9413
Fax: (765) 281-7865
Website:
Authorized official contact:
Name: Beauch, Jason RPH

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X 60004792 Indiana
Suppliers / Community/Retail Pharmacy 3336C0003X 60004792 Indiana

Profile Details

NPI number 1083984884
LBN Legal business name Meijer Stores Limited Partnership
DBA Doing business as Meijer Pharmacy #139
Authorized official Beauch, Jason RPH
Entity Organization
Organization subpart 1 No
Enumeration date Jan 10th, 2012
Last updated Mar 21st, 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 1083984884 NPPES
Indiana MEDICAID 201079050A

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