Organization
RX BIOTECH PHARMACY LLC
Active
Other names
Meijer Specialty Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
JASON BEAUCH (VICE PRESIDENT, PHARMACY)
(616) 791-3346
Entity
Organization
Contact information
Practice address
2514 N ONTARIO ST STE 102, BURBANK, CA 91504-2512
(310) 657-2212
(310) 657-0906
Mailing address
2929 WALKER AVE NW, GRAND RAPIDS, MI 49544-6402
(616) 791-3346
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
53842
CA
3336S0011X
Specialty Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2151383
PK
—
Enumeration date
06/18/2009
Last updated
09/24/2020
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