NPI | 1013287853 |
---|---|
Doing Business As | MEIJER PHARMACY #176 |
Entity Type | Organization |
Authorized Contact | JASON BEAUCH Director Of Pharmacy Managed Care 616-791-3169 |
Organization Subpart ? | No |
Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: IL 054014283) |
Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: IL 054014283) |
Enumeration Date | 2012-01-11 |
Last Update Date | 2014-03-24 |