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Meijer Stores Limited Partnership

Pharmacy, Community/Retail Pharmacy in Mentor, OH. Organization (NPI-2).

NPI number1386108520
StatusActive
Last updated in NPPESMay 3, 2019

Details

NPI
1386108520
Entity type
Organization (NPI-2)
Legal business name
Meijer Stores Limited Partnership
Organization subpart
No
Enumeration date
Jan 22, 2019
Last updated
May 3, 2019

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
3336C0003X Pharmacy, Community/Retail Pharmacy––Yes
332B00000X Durable Medical Equipment & Medical Supplies––

Other names

  • Meijer Pharmacy #309 (Doing Business As)

Practice location

9200 Mentor Ave
Mentor, OH 44060-6479

Phone 440-266-4410 · Fax 440-266-4365

Mailing address

2929 Walker Ave Nw
Grand Rapids, MI 49544-6402

Authorized official

Mindy Edgar
Director Of Managed Care
6167913961

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

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