Organization
MEIJER, INC.
Active
Organization
MEIJER, INC.
Active
Other names
Meijer Pharmacy #293
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
1138 W 3 MILE RD, SAULT SAINTE MARIE, MI 49783-9132
(906) 253-2810
(906) 253-2865
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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