Organization Name: | MEIJER STORES LIMITED PARTNERSHIP |
NPI Number: | 1811232614 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | KEVIN HURN (DIRECTOR, PHARMACY ADMINISTRATION) |
Mailing Address: | 1515 Profit Dr Fort Wayne |
State: | IN US |
Postal Code: | 468081172 |
Phone Number: | 2603106420 |
Fax Number: | 2604715170 |
NPI Enumeration Date: | 12/05/2012 |
NPI Last Update Date: | 12/05/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 332B00000X |
License Number: | 60006321A |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | |
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 |