# MEIJER INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1992831978
- **Authorized official:** JASON BEAUCH (MANAGER PHARAMCY THIRD PARTY PROG)
- **Authorized official phone:** (616) 791-3346

## Contact information

- **Practice address:** 2929 WALKER AVE NW, GRAND RAPIDS, MI 49544-9424
- **Practice address phone:** (616) 791-3346
- **Practice address fax:** (616) 735-8532
- **Mailing address:** 2929 WALKER AVE NW, GRAND RAPIDS, MI 49544-9424
- **Mailing address phone:** (616) 791-3346
- **Mailing address fax:** (616) 735-8532

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 133V00000X | Registered Dietitian | — | NULL | — |
| 332900000X | Non-Pharmacy Dispensing Site | — | NULL | Yes |
| 332B00000X | Durable Medical Equipment & Medical Supplies | — | NULL | — |

## Other

- **Enumeration date:** 02/26/2007
- **Last updated:** 12/14/2023