| NPI | 1386108520 |
|---|---|
| Doing Business As | MEIJER PHARMACY #309 |
| Entity Type | Organization |
| Authorized Contact | MINDY EDGAR Director Of Managed Care 616-791-3961 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2019-01-22 |
| Last Update Date | 2019-05-03 |