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1902378813 NPI number — MEIJER GREAT LAKES LIMITED PARTNERSHIP

NPI Number: 1902378813
Health Care Provider/Practitioner: MEIJER GREAT LAKES LIMITED PARTNERSHIP

Information about “1902378813” NPI (MEIJER GREAT LAKES LIMITED PARTNERSHIP) exists in 1902378813 in HTML format HTML  |  1902378813 in plain Text format TXT  |  1902378813 in PDF (Portable Document Format) PDF  |  1902378813 in an XML format XML  formats.

NPI Number : 1902378813 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1902378813",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "N",
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": "MEIJER GREAT LAKES LIMITED PARTNERSHIP",
    "LastName": null,
    "FirstName": null,
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": null,
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "2929 WALKER AVE NW",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "GRAND RAPIDS",
    "MailingAddressStateName": "MI",
    "MailingAddressPostalCode": "49544-6402",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "616-581-3994",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "1676 WESTPARK DR",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "BOWLING GREEN",
    "PracticeLocationAddressStateName": "KY",
    "PracticeLocationAddressPostalCode": "42104-4712",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "270-495-6710",
    "PracticeLocationAddressFaxNumber": "270-495-6765",
    "EnumerationDate": "12/18/2018",
    "LastUpdateDate": "12/18/2018",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "EDGAR",
    "AuthorizedOfficialFirstName": "MINDY",
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": "DIRECTOR OF MANAGED CARE",
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": "PHARMD",
    "AuthorizedOfficialTelephoneNumber": "616-791-3961",
    "Taxonomies": {
      "Taxonomy": [
        {
          "TaxonomyCode": "332B00000X",
          "TaxonomyName": "Durable Medical Equipment & Medical Supplies",
          "LicenseNumber": null,
          "LicenseNumberStateCode": null,
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "3336S0011X",
          "TaxonomyName": "Specialty Pharmacy",
          "LicenseNumber": null,
          "LicenseNumberStateCode": null,
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "3336C0003X",
          "TaxonomyName": "Community/Retail Pharmacy",
          "LicenseNumber": null,
          "LicenseNumberStateCode": null,
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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