Organization · Type 2 NPI

Meijer Great Lakes Limited Partnership

Community/Retail Pharmacy · Homer Glen, IL

NPI number 1821404484 Active

Practice location

14169 S Bell Rd
Homer Glen, IL 60491-8464

Call (708) 645-5810 Map

Fax (708) 645-5865

Mailing address

2929 Walker Ave NW
Grand Rapids, MI 49544-6402

Specialties and licenses

Taxonomy	Code	License
Durable Medical Equipment & Medical Supplies	332B00000X	054.018694 (IL)
Community/Retail Pharmacy Primary	3336C0003X	054.018694 (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 …

4 other providers at this address

Other community/retail pharmacy providers in Homer Glen

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NPI record

NPI: 1821404484
Entity type: Organization (Type 2)
Issued: Jul 3, 2014
Last updated: Feb 25, 2021
Status: Active

Other names

<unavail>
Meijer Pharmacy #219 · doing business as
Meijer Pharmacy #219 · 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 1821404484

Meijer Great Lakes Limited Partnership's National Provider Identifier is 1821404484, issued on Jul 3, 2014. The primary taxonomy on file is Community/Retail Pharmacy (3336C0003X), and the practice location is in Homer Glen, IL. The record was last updated on Feb 25, 2021.