Organization
MEIJER STORES LIMITED PARTNERSHIP
Active
Other names
Meijer Pharmacy #110
Organization subpart
No
Provider details
NPI number
Authorized official
JASON BEAUCH R.PH (DIRECTOR OF PHARMACY MANAGED CARE)
(616) 791-3169
Entity
Organization
Contact information
Practice address
3298 ELIDA RD, LIMA, OH 45805-1220
(419) 331-6410
(419) 331-6463
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
02721600
OH
3336C0003X
Community/Retail Pharmacy
Primary
02721600
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0907808
—
OH
Enumeration date
12/22/2006
Last updated
03/17/2014
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