Organization
MEIJER STORES LIMITED PARTNERSHIP
Active
Other names
Mejjer Pharmacy #240
Organization subpart
No
Provider details
NPI number
Authorized official
JASON BEAUCH RPH (DIRECTOR OF PHARMACY MANAGED CARE)
(616) 791-3169
Entity
Organization
Contact information
Practice address
3711 STONECREEK BLVD, CINCINNATI, OH 45251-1457
(513) 245-7510
(513) 245-7565
Mailing address
2929 WALKER AVE NW, GRAND RAPIDS, MI 49544-9424
(616) 791-3169
(616) 735-8532
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
021698550
OH
3336C0003X
Community/Retail Pharmacy
Primary
021698550
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2767386
—
OH
Enumeration date
07/19/2007
Last updated
03/25/2014
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