Meijer Pharmacy #123

LBN: Meijer Inc
Meijer Pharmacy #123 is an health care organization with primary practice located at 16300 Fort St , Southgate MI 48195-1421. 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 Inc can be contacted via phone (734) 284-4250, or through Beauch, Jason via phone (616) 791-3169.

Contact Information

Primary practice address
16300 Fort St Southgate MI 48195-1421
Phone: (734) 284-4250
Fax: (734) 284-4763
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 5301006055 Michigan
Suppliers / Community/Retail Pharmacy 3336C0003X 5301006055 Michigan

Profile Details

NPI number 1487716296
LBN Legal business name Meijer Inc
DBA Doing business as Meijer Pharmacy #123
Authorized official Beauch, Jason R.PH
Entity Organization
Organization subpart 1 No
Enumeration date Dec 15th, 2006
Last updated Mar 19th, 2014 - about 11 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 1487716296 NPPES
Michigan MEDICAID 2353047

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