Meijer Pharmacy #164

LBN: Meijer Great Lakes Limited Partnership
Meijer Pharmacy #164 is an health care organization with primary practice located at 4100 Towne Center Dr , Louisville KY 40241-4153. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Durable Medical Equipment & Medical Supplies, Suppliers / Community/Retail Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty. Meijer Great Lakes Limited Partnership can be contacted via phone (502) 326-5210, or through Beauch, Jason via phone (616) 791-3169.

Contact Information

Primary practice address
4100 Towne Center Dr Louisville KY 40241-4153
Phone: (502) 326-5210
Fax: (502) 326-5265
Website:
Map and Directions
Authorized official contact:
Name: Beauch, Jason RPH
Phone: (616) 791-3169

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X P06544 Kentucky
Suppliers / Community/Retail Pharmacy 3336C0003X P06544 Kentucky

Profile Details

NPI number 1245426832
LBN Legal business name Meijer Great Lakes Limited Partnership
DBA Doing business as Meijer Pharmacy #164
Authorized official Beauch, Jason RPH
Entity Organization
Organization subpart 1 No
Enumeration date Sep 18th, 2007
Last updated Mar 24th, 2014 - about 12 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1245426832 NPPES
Kentucky MEDICAID 7100211730
Kentucky MEDICAID 201191670A

Popular Providers