Organization
MEIJER STORES LIMITED PARTNERSHIP
Active
Other names
Meijer Pharmacy #299
Organization subpart
No
Provider details
NPI number
Authorized official
JASON BEAUCH R.PH (VP OF PHARMACY MERCHANDISING)
(616) 791-3169
Entity
Organization
Contact information
Practice address
2180 S MAIN ST, WEST BEND, WI 53095-5754
(262) 334-8510
(626) 306-5165
Mailing address
2929 WALKER AVE NW, ATTN: MANAGED CARE GOVERNMENT PROGRAMS, GRAND RAPIDS, MI 49544-6402
(616) 791-3169
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Enumeration date
01/03/2017
Last updated
03/28/2017
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