Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Meijer Great Lakes Limited Partnership

Organization Durable Medical Equipment & Medical Supplies · NPI 1235409079

Meijer Great Lakes Limited Partnership is a Durable Medical Equipment & Medical Supplies in Bolingbrook, Illinois. Licensed in Illinois. Registered with an NPI since 2012.

Licensed in
IL
In the registry since
2012
Specialties on file
2
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Practice location Address checks out

225 N Weber Rd
Bolingbrook, IL 60490-1505
Phone: (630) 679-6510
Fax: (630) 679-6565
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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 054014083 (IL)
Durable Medical Equipment & Medical Supplies Taxonomy 332B00000X · Licence 054014083 (IL)

Record details

NPI number1235409079
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jason Beauch — Director Of Pharmacy Managed Care · (616) 791-3169
Other names Meijer Pharmacy #169; Meijer Pharmacy #169
NPI enumeratedJanuary 11, 2012
Last updated in NPPESFebruary 25, 2021
Certification dateFebruary 25, 2021
Mailing address2929 Walker Ave Nw, Grand Rapids, MI 49544

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