Meijer Pharmacy #030

LBN: Meijer, Inc.
Meijer Pharmacy #030 is an health care organization with primary practice located at 2777 Airport Rd , Jackson MI 49202-1239. 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 (517) 783-0010, or through Beauch, Jason via phone (616) 791-3169.

Contact Information

Primary practice address
2777 Airport Rd Jackson MI 49202-1239
Phone: (517) 783-0010
Fax: (517) 783-0065
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 5301002980 Michigan
Suppliers / Community/Retail Pharmacy 3336C0003X 5301002980 Michigan

Profile Details

NPI number 1568501468
LBN Legal business name Meijer, Inc.
DBA Doing business as Meijer Pharmacy #030
Authorized official Beauch, Jason RPH
Entity Organization
Organization subpart 1 No
Enumeration date Feb 6th, 2007
Last updated Mar 17th, 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 1568501468 NPPES
Michigan MEDICAID 2305743

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