Meijer Pharmacy #277

LBN: Meijer Stores Limited Partnership
Meijer Pharmacy #277 is an health care organization with primary practice located at 11111 W Burleigh St , Wauwatosa WI 53222-3211. 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 (414) 290-0910, or through Beauch, Jason via phone (616) 791-3169.

Contact Information

Primary practice address
11111 W Burleigh St Wauwatosa WI 53222-3211
Phone: (414) 290-0910
Fax: (414) 256-4765
Website:
Map and Directions
Authorized official contact:
Name: Beauch, Jason R.PH
Phone: (616) 791-3169

Health care specialties

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

Profile Details

NPI number 1093195596
LBN Legal business name Meijer Stores Limited Partnership
DBA Doing business as Meijer Pharmacy #277
Authorized official Beauch, Jason R.PH
Entity Organization
Organization subpart 1 No
Enumeration date Jun 1st, 2015
Last updated Sep 1st, 2015 - about 9 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 1093195596 NPPES
Wisconsin MEDICAID 100046221

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