Meijer Great Lakes Limited Partnership
NPI #1114314986 in Machesney Park, Illinois
Provider Information
- NPI Number
- 1114314986
- Entity Type
- Organization
- Organization Name
- Meijer Great Lakes Limited Partnership
- Primary Specialty
- Pharmacy - Community/Retail Pharmacy
- Enumeration Date
- Apr 20, 2015
- Last Updated
- Feb 25, 2021
Practice Location
- Address
- 1770 WEST LANE
- City
- Machesney Park
- State
- Illinois
- ZIP Code
- 61115-1627
- Phone
- (815) 721-8710
Authorized Official
- Name
- JASON BEAUCH, R.PH
- Title
- DIRECTOR OF PHARMACY MANAGED CARE
- Phone
- (616) 791-3169
Specialties & Taxonomy Codes
| Specialty |
|---|
| Durable Medical Equipment & Medical Supplies |
| Pharmacy - Community/Retail Pharmacy — Community/Retail Pharmacy |
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