Organization
MEIJER STORES LIMITED PARTNERSHIP
Active
Other names
Meijer Pharmacy #141
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
2301 E MARKLAND AVE, KOKOMO, IN 46901-6245
(765) 454-7810
(765) 454-7865
Mailing address
2929 WALKER AVE NW, GRAND RAPIDS, MI 49544-6402
(616) 791-3169
(616) 735-8532
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
60004793
IN
3336C0003X
Community/Retail Pharmacy
Primary
60004793
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201078650A
—
IN
Enumeration date
01/10/2012
Last updated
03/21/2014
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