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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 Specialty Code Provider Type

Community/Retail Pharmacy

3336C0003X 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 GREAT LAKES LIMITED PARTNERSHIP

NPI Number 1003315680
LBN Legal business name MEIJER GREAT LAKES LIMITED PARTNERSHIP
Authorized official IAN NAGY - (MANAGER, THIRD PARTY GOVT. PROGRAMS)
Entity Organization
Organization subpart 1 No
Enumeration date 02/08/2018
Last updated 09/07/2021 - About 5 years ago
Identifiers n/a
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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