Meijer Great Lakes Limited Partnership
Meijer Great Lakes Limited Partnership is a Durable Medical Equipment & Medical Supplies in Champaign, Illinois. Licensed in Illinois. Registered with an NPI since 2012.
- Licensed in
- IL
- In the registry since
- 2012
- Specialties on file
- 2
Practice location Address checks out
2401 N Prospect AveChampaign, IL 61822-1233
Phone: (217) 353-4010
Fax: (217) 353-4065
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Community/Retail Pharmacy (primary) | Taxonomy 3336C0003X · Licence 054011966 (IL) |
|---|---|
| Durable Medical Equipment & Medical Supplies | Taxonomy 332B00000X · Licence 054011966 (IL) |
Record details
| NPI number | 1215207006 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Jason Beauch — Director Of Pharmacy Managed Care · (616) 791-3169 |
| Other names | Meijer Pharmacy #146 |
| NPI enumerated | January 10, 2012 |
| Last updated in NPPES | March 21, 2014 |
| Mailing address | 2929 Walker Ave Nw, Grand Rapids, MI 49544-6402 |
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