Meijer Great Lakes Limited Partnership

NPI #1205223070 in Rockford, Illinois

Provider Information

NPI Number
1205223070
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
2013 MCFARLAND ROAD
ZIP Code
61107-6835
Phone
(815) 721-8610

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 PharmacyCommunity/Retail Pharmacy

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