Meijer Great Lakes Limited Partnership

NPI #1497025290 in Urbana, Illinois

Provider Information

NPI Number
1497025290
Entity Type
Organization
Organization Name
Meijer Great Lakes Limited Partnership
Primary Specialty
Pharmacy - Community/Retail Pharmacy
Enumeration Date
Jan 10, 2012
Last Updated
Mar 25, 2014

Practice Location

Address
2500 PHILO RD
City
Urbana
ZIP Code
61802-8044
Phone
(217) 365-5210

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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