Organization
MEIJER INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JASON BEAUCH (MANAGER PHARAMCY THIRD PARTY PROG)
(616) 791-3346
Entity
Organization
Contact information
Practice address
2929 WALKER AVE NW, GRAND RAPIDS, MI 49544-9424
(616) 791-3346
(616) 735-8532
Mailing address
2929 WALKER AVE NW, GRAND RAPIDS, MI 49544-9424
(616) 791-3346
(616) 735-8532
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
—
—
332900000X
Non-Pharmacy Dispensing Site
Primary
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
Other
Enumeration date
02/26/2007
Last updated
12/14/2023
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