NPI 1003315680
Meijer Great Lakes Limited Partnership
Practice location
- Address
- 990 N Kinzie Ave, Bradley, IL 60915
- Phone
- (779) 301-8210
- Fax
- (779) 301-8265
- Mailing address
- 2929 Walker Ave NW, Grand Rapids, MI 49544-6402
Authorised official
- Name
- Ian Nagy
- Title
- Manager, Third Party Govt. Programs
- Phone
- (616) 249-6272
Registered specialties (2)
Community/Retail Pharmacy
Primary
Durable Medical Equipment & Medical Supplies
Registry record
- NPI
- 1003315680
- Entity type
- Organization
- NPI issued
- 8 Feb 2018
- Record last updated
- 7 Sep 2021
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.