Organization Name: | MEIJER STORES LIMITED PARTNERSHIP |
NPI Number: | 1033489844 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | JASON BEAUCH (DIRECTOR OF PHARMACY MANAGED CARE) |
Mailing Address: | 3600 Portage Rd South Bend |
State: | IN US |
Postal Code: | 46628 |
Phone Number: | 5742733410 |
Fax Number: | 5742733465 |
NPI Enumeration Date: | 01/10/2012 |
NPI Last Update Date: | 03/19/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 332B00000X |
License Number: | 60004375 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | IN |
Taxonomy Type: | Suppliers |
Taxonomy Classification: | Durable Medical Equipment & Medical Supplies |
Taxonomy Specialization: | |
Taxonomy Definition: | A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient |