| Organization Name: | MEIJER, INC. |
| NPI Number: | 1104287184 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | JASON BEAUCH (VP OF PHARMACY MERCHANDISING) |
| Mailing Address: | 408 W South St Sturgis |
| State: | MI US |
| Postal Code: | 490912153 |
| Phone Number: | 2693194010 |
| Fax Number: | 2693194065 |
| NPI Enumeration Date: | 03/17/2016 |
| NPI Last Update Date: | 06/06/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 332B00000X |
| License Number: | 5301010932 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | MI |
| 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 |