Meijer Great Lakes Limited Partnership

Practice location

Address

4200 Conestoga Dr, Springfield, IL 62711-7962

Phone

(217) 547-2410

Fax

(217) 547-2465

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)

Registry record

NPI

1013287853

Entity type

Organization

NPI issued

11 Jan 2012

Record last updated

24 Mar 2014

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.