Meijer Great Lakes Limited Partnership
NPI #1417398082 in Evergreen Park, Illinois
Provider Information
- NPI Number
- 1417398082
- Entity Type
- Organization
- Organization Name
- Meijer Great Lakes Limited Partnership
- Primary Specialty
- Pharmacy - Community/Retail Pharmacy
- Enumeration Date
- Jul 11, 2013
- Last Updated
- Feb 25, 2021
Practice Location
- Address
- 9200 S WESTERN AVE
- City
- Evergreen Park
- State
- Illinois
- ZIP Code
- 60805-2500
- Phone
- (708) 499-8110
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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