Meijer Great Lakes Limited Partnership

NPI #1518237312 in Normal, Illinois

Provider Information

NPI Number
1518237312
Entity Type
Organization
Organization Name
Meijer Great Lakes Limited Partnership
Primary Specialty
Pharmacy - Community/Retail Pharmacy
Enumeration Date
Jan 10, 2012
Last Updated
Mar 24, 2014

Practice Location

Address
1900 E COLLEGE AVE
City
Normal
ZIP Code
61761-4577
Phone
(309) 888-0810

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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