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MEIJER GREAT LAKES LIMITED PARTNERSHIP NPI 1821404484


NPI Information

NPI: 1821404484
Provider Name: MEIJER GREAT LAKES LIMITED PARTNERSHIP

Doing Business As: MEIJER PHARMACY #219

Classification: Pharmacy - 3336C0003X
Entity Type: Organization

Specialization: Community/Retail Pharmacy

CLIA Number: 14D2078291

Address:
14169 S BELL RD
HOMER GLEN, IL
ZIP 60491
Phone: (708) 645-5810
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MEIJER GREAT LAKES LIMITED PARTNERSHIP is a community/retail pharmacy pharmacy in Homer Glen, IL. The provider is 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 health care providers, collaborative practice, disease state management, and education classes. MEIJER GREAT LAKES LIMITED PARTNERSHIP NPI is 1821404484. The provider is registered as an organization entity type.
The provider Is Doing Business As Meijer Pharmacy #219.

The provider's business location address is:

14169 S BELL RD
HOMER GLEN, IL
ZIP 60491-464
Phone: (708) 645-5810
Fax: (708) 645-5865

The provider's authorized official is Jason Beauch .
The authorized official title is Director Of Pharmacy Managed Care and has the following contact phone number (616) 791-3169.

The CLIA number assigned to this NPI record is 14D2078291 - pharmacy with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 7/3/2014 and was last updated on 2/25/2021.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1332B00000XDurable Medical Equipment & Medical Supplies054.018694ILLINOISNo
23336C0003XPharmacyCommunity/Retail Pharmacy054.018694ILLINOISYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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