Organization
MEIJER INC
Active
Other names
Meijer Pharmacy #022
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JASON BEAUCH RPH (DIRECTOR OF PHARMACY MANAGED CARE)
(616) 791-3169
Entity
Organization
Contact information
Practice address
5121 S WESTNEDGE AVE, PORTAGE, MI 49002-0404
(269) 337-2110
(269) 337-2165
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
5301000855
MI
3336C0003X
Community/Retail Pharmacy
Primary
5301000855
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2302444
—
MI
Enumeration date
07/21/2006
Last updated
03/11/2014
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us