Meijer Pharmacy #274
LBN: Meijer Stores Limited Partnership
Meijer Pharmacy #274 is an health care organization with primary practice located at 1600 N. Port Washington Rd. , Grafton WI 53024-9771. 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 (262) 204-2810, or through Beauch, Jason via phone (616) 791-3169.
Contact Information
Primary practice address
1600 N. Port Washington Rd.
Grafton WI 53024-9771
Phone: (262) 204-2810
Fax: (262) 204-2765
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Suppliers / Durable Medical Equipment & Medical Supplies | 332B00000X | 9312 | Wisconsin |
Suppliers / Community/Retail Pharmacy | 3336C0003X | 9312 | Wisconsin |
Profile Details
NPI number | 1730574864 |
---|---|
LBN Legal business name | Meijer Stores Limited Partnership |
DBA Doing business as | Meijer Pharmacy #274 |
Authorized official | Beauch, Jason R.PH |
Entity | Organization |
Organization subpart 1 | No |
Enumeration date | Apr 6th, 2015 |
Last updated | Jul 9th, 2015 - 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 | 1730574864 | NPPES |
Wisconsin | MEDICAID | 100045172 |
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