Meijer Pharmacy #115

LBN: Meijer Stores Limited Partnership
Meijer Pharmacy #115 is an health care organization with primary practice located at 1391 Conant St , Maumee OH 43537-1609. 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 (419) 891-8710, or through Beauch, Jason via phone (616) 791-3169.

Contact Information

Primary practice address
1391 Conant St Maumee OH 43537-1609
Fax: (419) 891-8765
Website:
Authorized official contact:
Name: Beauch, Jason RPH

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X 02723850 Ohio
Suppliers / Community/Retail Pharmacy 3336C0003X 02723850 Ohio

Profile Details

NPI number 1114014362
LBN Legal business name Meijer Stores Limited Partnership
DBA Doing business as Meijer Pharmacy #115
Authorized official Beauch, Jason RPH
Entity Organization
Organization subpart 1 No
Enumeration date Oct 9th, 2006
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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1114014362 NPPES
Ohio MEDICAID 0913702
Ohio MEDICAID 1114014362

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