Meijer Pharmacy #165
LBN: Meijer Stores Limited Partnership
Meijer Pharmacy #165 is an health care organization with primary practice located at 611 E Us Highway 30 , Merrillville IN 46410. 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 (219) 650-3710, or through Beauch, Jason via phone (616) 791-3169.
Contact Information
Primary practice address
611 E Us Highway 30
Merrillville IN 46410
Phone: (219) 650-3710
Fax: (219) 650-3765
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Durable Medical Equipment & Medical Supplies | 332B00000X | 60005267 | Indiana |
| Suppliers / Community/Retail Pharmacy | 3336C0003X | 60005267 | Indiana |
Profile Details
| NPI number | 1083985956 |
|---|---|
| LBN Legal business name | Meijer Stores Limited Partnership |
| DBA Doing business as | Meijer Pharmacy #165 |
| Authorized official | Beauch, Jason RPH |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jan 24th, 2012 |
| Last updated | Mar 24th, 2014 - about 11 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 | 1083985956 | NPPES |
| Indiana | MEDICAID | 201079350A |
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