Whalio Doctors

NPI 1114014362

Meijer Stores Limited Partnership

Organisation Community/Retail Pharmacy Maumee, OH

Practice location

Address
1391 Conant St, Maumee, OH 43537-1609
Phone
(419) 891-8710
Fax
(419) 891-8765
Mailing address
2929 Walker Ave NW, Grand Rapids, MI 49544-9424

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 02723850 (OH)
Durable Medical Equipment & Medical Supplies
Suppliers Taxonomy 332B00000X Licence 02723850 (OH)

Registry record

NPI
1114014362
Entity type
Organization
NPI issued
9 Oct 2006
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.