NPI 1033489844

Meijer Stores Limited Partnership

Organisation Community/Retail Pharmacy South Bend, IN

Practice location

Address: 3600 Portage Rd, South Bend, IN 46628
Phone: (574) 273-3410
Fax: (574) 273-3465
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 Licence 60004375 (IN)

Other Pharmacy providers in Indiana →

Durable Medical Equipment & Medical Supplies

Suppliers Taxonomy 332B00000X Licence 60004375 (IN)

Other Durable Medical Equipment & Medical Supplies providers in Indiana →

Registry record

NPI: 1033489844
Entity type: Organization
NPI issued: 10 Jan 2012
Record last updated: 19 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.