Meijer Stores Limited Partnership

NPI #1104196906 in Goshen, Indiana

Provider Information

NPI Number
1104196906
Entity Type
Organization
Organization Name
Meijer Stores Limited Partnership
Primary Specialty
Pharmacy - Community/Retail Pharmacy
Enumeration Date
Jan 10, 2012
Last Updated
Mar 21, 2014

Practice Location

Address
4522 ELKHART RD
City
Goshen
State
Indiana
ZIP Code
46526-5822
Phone
(574) 875-3010

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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