| NPI | 1124885041 |
|---|---|
| Doing Business As | MEIJER PHARMACY #682 |
| Entity Type | Organization |
| Authorized Contact | JOSEPH BACK Director Managed Care 616-791-3485 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2024-03-06 |
| Last Update Date | 2024-03-06 |