Organization
MEIJER, INC.
Active
Other names
Meijer Pharmacy #254
Organization subpart
No
Provider details
NPI number
Authorized official
JASON BEAUCH (VICE PRESIDENT OF PHARMACY)
(616) 791-5032
Entity
Organization
Contact information
Practice address
4075 32ND AVE, HUDSONVILLE, MI 49426
(616) 229-9310
(616) 229-9365
Mailing address
2929 WALKER AVE NW, GRAND RAPIDS, MI 49544-6402
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1114428729
—
MI
Enumeration date
02/28/2018
Last updated
07/13/2018
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