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Contact Information

MEIJER STORES LIMITED PARTNERSHIP
5150 FRANKLIN ST
MICHIGAN CITY, IN46360-7878
 Phone: 219-877-2410
 Fax: 219-877-2465
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinic Pharmacy

3336C0002X 58 Medical Supply Company with Pharmacist
 

Durable Medical Equipment & Medical Supplies

332B00000X 54 Other Medical Supply Company
Indicates primary specialty

NPI Profile & details for MEIJER STORES LIMITED PARTNERSHIP

NPI # 1528338332
LBN Legal business name MEIJER STORES LIMITED PARTNERSHIP
Authorized official JASON BEAUCH - (DIRECTOR OF PHARMACY MANAGED CARE)
Entity Organization
Organization subpart 1 No
Enumeration date 01/10/2012
Last updated 03/21/2014 - About 12 years ago
Identifiers
IN License # 60004967
IN Medicaid 201079310A
MI Medicaid 1528338332
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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