Meijer Stores Limited Partnership
Pharmacy, Community/Retail Pharmacy in McCordsville, IN. Organization (NPI-2).
NPI number1982149746
StatusActive
Last updated in NPPESMar 28, 2017
Details
- NPI
- 1982149746
- Entity type
- Organization (NPI-2)
- Legal business name
- Meijer Stores Limited Partnership
- Organization subpart
- No
- Enumeration date
- Jan 3, 2017
- Last updated
- Mar 28, 2017
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 3336C0003X | Pharmacy, Community/Retail Pharmacy | – | – | Yes |
| 332B00000X | Durable Medical Equipment & Medical Supplies | – | – |
Other names
- Meijer Pharmacy #296 (Doing Business As)
Practice location
6939 W BroadwayMcCordsville, IN 46055-9008
Phone 317-510-0310 · Fax 317-510-0265
Mailing address
2929 Walker Ave NwAttn: Managed Care Government Programs
Grand Rapids, MI 49544-6402
Phone 616-791-3169
Authorized official
Jason Beauch
Vp Of Pharmacy Merchandising
6167913169
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