Organization
MEIJER, INC.
Active
Other names
Meijer Pharmacy #306
Organization subpart
No
Provider details
NPI number
Authorized official
JASON BEAUCH (VICE PRESIDENT)
(616) 791-5032
Entity
Organization
Contact information
Practice address
25225 SCHOENHERR RD, WARREN, MI 48089
(586) 210-9810
(586) 210-9865
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
—
1508367111
—
MI
Enumeration date
02/28/2018
Last updated
10/10/2018
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