Whalio Doctors

NPI 1003296518

Meijer Stores Limited Partnership

Organisation Community/Retail Pharmacy Oak Creek, WI

Practice location

Address
171 W Town Square Way, Oak Creek, WI 53154-6801
Phone
(414) 501-1710
Fax
(414) 768-7365
Mailing address
2929 Walker Ave NW, Grand Rapids, MI 49544-6402

Authorised official

Name
Jason Beauch
Title
Director of Pharmacy Managed Care
Phone
(616) 791-3169

Registered specialties (2)

Community/Retail Pharmacy Primary
Suppliers Taxonomy 3336C0003X
Durable Medical Equipment & Medical Supplies
Suppliers Taxonomy 332B00000X

Registry record

NPI
1003296518
Entity type
Organization
NPI issued
1 Jun 2015
Record last updated
1 Sep 2015

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.