Meijer Stores Limited Partnership

NPI #1891065603 in Kokomo, Indiana

Provider Information

NPI Number
1891065603
Entity Type
Organization
Organization Name
Meijer Stores Limited Partnership
Primary Specialty
Pharmacy - Community/Retail Pharmacy
Enumeration Date
Jan 10, 2012
Last Updated
Mar 21, 2014

Practice Location

Address
2301 E MARKLAND AVE
City
Kokomo
State
Indiana
ZIP Code
46901-6245
Phone
(765) 454-7810

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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