| Organization Name: | MEIJER INC |
| NPI Number: | 1609915669 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | JASON BEAUCH (DIRECTOR OF PHARMACY MANAGED CARE) |
| Mailing Address: | 6200 S Pennsylvania Ave Lansing |
| State: | MI US |
| Postal Code: | 489115719 |
| Phone Number: | 5173949510 |
| Fax Number: | 5173949565 |
| NPI Enumeration Date: | 02/06/2007 |
| NPI Last Update Date: | 02/24/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 332B00000X |
| License Number: | 5301000775 |
| 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 |