Meijer Great Lakes Limited Partnership

NPI #1053681858 in Plainfield, Illinois

Provider Information

NPI Number
1053681858
Entity Type
Organization
Organization Name
Meijer Great Lakes Limited Partnership
Primary Specialty
Pharmacy - Community/Retail Pharmacy
Enumeration Date
Jan 10, 2012
Last Updated
Feb 25, 2021

Practice Location

Address
13521 S ROUTE 59
ZIP Code
60544-3800
Phone
(815) 267-8010

Authorized Official

Name
JASON BEAUCH, RPH
Title
DIRECTOR OF PHARMACY MANAGED CARE
Phone
(616) 791-3169

Specialties & Taxonomy Codes

Specialty
Durable Medical Equipment & Medical Supplies
Pharmacy - Community/Retail PharmacyCommunity/Retail Pharmacy

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