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General NPI Number Information
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NPI Number | 1033061486
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Entity Type | Organization
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Legal Business Name | MEIJER STORES LIMITED PARTNERSHIP
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Dates
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Enumeration Date | 02/10/2026
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Last Update Date | 02/10/2026
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Provider Practice Location Address
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Address Line | 7300 AURORA ROAD
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City | AURORA
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State | OH
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Zip | 44202
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Country | US
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Telephone | 440-955-8540
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Fax | 440-955-8565
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Provider Business Mailing Address
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Address Line | 2929 WALKER AVE NW
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City | GRAND RAPIDS
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State | MI
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Zip | 49544-6402
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Country | US
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Telephone | 616-791-3485
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Fax |
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Authorized Official
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Title or Position | DIRECTOR PAYER RELATIONS/WELLNESS
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Name | LUKE GUMPER
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Credential |
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Telephone | 616-791-5730
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number |
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License Number State |
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