Meijer, INC.
Pharmacy, Community/Retail Pharmacy in Detroit, MI. Organization (NPI-2).
NPI number1902245293
StatusActive
Last updated in NPPESMar 25, 2014
Details
- NPI
- 1902245293
- Entity type
- Organization (NPI-2)
- Legal business name
- Meijer, INC.
- Organization subpart
- No
- Enumeration date
- Jun 19, 2013
- Last updated
- Mar 25, 2014
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 3336C0003X | Pharmacy, Community/Retail Pharmacy | 5301010123 | MI | Yes |
| 332B00000X | Durable Medical Equipment & Medical Supplies | 5301010123 | MI |
Other names
- Meijer Pharmacy #268 (Doing Business As)
Practice location
1301 W 8 Mile RdDetroit, MI 48203-1021
Phone 313-369-5210 · Fax 313-369-5265
Mailing address
2929 Walker Ave NwGrand Rapids, MI 49544-6402
Phone 616-791-3169 · Fax 616-735-8532
Authorized official
Jason Beauch
Director Of Pharmacy Managed Care
6167913169
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