| NPI | 1114428729 |
|---|---|
| Doing Business As | MEIJER PHARMACY #254 |
| Entity Type | Organization |
| Authorized Contact | JASON BEAUCH Vice President Of Pharmacy 616-791-5032 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2018-02-28 |
| Last Update Date | 2018-07-13 |