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Contact Information

MEIJER STORES LIMITED PARTNERSHIP
405 PORTERS VALE BOULEVARD
VALPARAISO, IN46383
 Phone: 219-300-8010
 Fax: 219-300-8065
 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 STORES LIMITED PARTNERSHIP

NPI # 1275034860
LBN Legal business name MEIJER STORES LIMITED PARTNERSHIP
Authorized official JASON BEAUCH - (VICE PRESIDIENT OF PHARMACY)
Entity Organization
Organization subpart 1 No
Enumeration date 02/28/2018
Last updated 06/25/2018 - About 8 years ago
Identifiers
IN Medicaid 300013797
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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