NPI | 1073144408 |
---|---|
Doing Business As | MEIJER PHARMACY #318 |
Entity Type | Organization |
Authorized Contact | RAYMOND BURZYNSKI Director Of Pharmacy Managed Care 616-249-6583 |
Organization Subpart ? | No |
Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
Enumeration Date | 2020-02-04 |
Last Update Date | 2020-07-09 |