Meijer Pharmacy #162

LBN: Meijer Great Lakes Limited Partnership
Meijer Pharmacy #162 is an health care organization with primary practice located at 9905 Dixie Hwy , Louisville KY 40272-3943. 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) 995-2110, or through Beauch, Jason via phone (616) 791-3169.

Contact Information

Primary practice address
9905 Dixie Hwy Louisville KY 40272-3943
Phone: (502) 995-2110
Fax: (502) 995-2165
Website:
Map and Directions
Authorized official contact:
Name: Beauch, Jason R.PH
Phone: (616) 791-3169

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X P06543 Kentucky
Suppliers / Community/Retail Pharmacy 3336C0003X P06543 Kentucky

Profile Details

NPI number 1790971380
LBN Legal business name Meijer Great Lakes Limited Partnership
DBA Doing business as Meijer Pharmacy #162
Authorized official Beauch, Jason R.PH
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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1790971380 NPPES
Indiana MEDICAID 201191680A
Indiana MEDICAID 7100211650

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