Organization · Type 2 NPI

Meijer Great Lakes Limited Partnership

Community/Retail Pharmacy · Bolingbrook, IL

NPI number 1235409079 Active

Practice location

225 N Weber Rd
Bolingbrook, IL 60490-1505

Call (630) 679-6510 Map

Fax (630) 679-6565

Mailing address

2929 Walker Ave NW
Grand Rapids, MI 49544

Specialties and licenses

Taxonomy	Code	License
Durable Medical Equipment & Medical Supplies	332B00000X	054014083 (IL)
Community/Retail Pharmacy Primary	3336C0003X	054014083 (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 …

6 other providers at this address

Other community/retail pharmacy providers in Bolingbrook

See all in Bolingbrook →

NPI record

NPI: 1235409079
Entity type: Organization (Type 2)
Issued: Jan 11, 2012
Last updated: Feb 25, 2021
Status: Active

Other names

<unavail>
Meijer Pharmacy #169 · doing business as
Meijer Pharmacy #169 · doing business as

Authorized official

Jason Beauch, RPH
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.

Is this your record? How to update it.

About NPI 1235409079

Meijer Great Lakes Limited Partnership's National Provider Identifier is 1235409079, issued on Jan 11, 2012. The primary taxonomy on file is Community/Retail Pharmacy (3336C0003X), and the practice location is in Bolingbrook, IL. The record was last updated on Feb 25, 2021.