Organization · Type 2 NPI

Meijer Great Lakes Limited Partnership

Community/Retail Pharmacy · Rockford, IL

NPI number 1205223070 Active

Practice location

2013 Mcfarland Road
Rockford, IL 61107-6835

Call (815) 721-8610 Map

Fax (815) 721-8565

Mailing address

2929 Walker Ave NW
Grand Rapids, MI 49544-6402

Specialties and licenses

Taxonomy	Code	License
Durable Medical Equipment & Medical Supplies	332B00000X	054019347 (IL)
Community/Retail Pharmacy Primary	3336C0003X	054019347 (IL)

Community/Retail Pharmacy: A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other …

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NPI record

NPI: 1205223070
Entity type: Organization (Type 2)
Issued: Apr 20, 2015
Last updated: Feb 25, 2021
Status: Active

Other names

<unavail>
Meijer Pharmacy #192 · doing business as
Meijer Pharmacy #192 · doing business as

Authorized official

Jason Beauch, R.PH
Director of Pharmacy Managed Care
(616) 791-3169

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1205223070

Meijer Great Lakes Limited Partnership's National Provider Identifier is 1205223070, issued on Apr 20, 2015. The primary taxonomy on file is Community/Retail Pharmacy (3336C0003X), and the practice location is in Rockford, IL. The record was last updated on Feb 25, 2021.