National Provider Identifier Database

MEIJER GREAT LAKES LIMITED PARTNERSHIP
Community/Retail Pharmacy

A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes.


Contact Information

MEIJER GREAT LAKES LIMITED PARTNERSHIP
990 N KINZIE AVE
BRADLEY, IL60915
Phone: 779-301-8210
Fax: 779-301-8265
Website:
Specialty Taxonomy Code
* Community/Retail Pharmacy 3336C0003X
Durable Medical Equipment & Medical Supplies 332B00000X

* Indicates primary specialty

NPI Profile & details for MEIJER GREAT LAKES LIMITED PARTNERSHIP

NPI Number 1003315680
Legal business name
LBN
MEIJER GREAT LAKES LIMITED PARTNERSHIP
Authorized official IAN NAGY - (MANAGER, THIRD PARTY GOVT. PROGRAMS)
Entity Organization
Organization subpart No
Enumeration date 02/08/2018
Last updated 09/07/2021 - About 5 years ago
Sole proprietor1 Not specified
Identifiers n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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