| NPI | 1215569256 |
|---|---|
| Doing Business As | MEIJER PHARMACY #317 |
| Entity Type | Organization |
| Authorized Contact | RAYMOND BURZYNSKI Director Of Pharamcy 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 | 2020-02-07 |
| Last Update Date | 2020-07-09 |