| NPI | 1578154621 |
|---|---|
| Doing Business As | MEIJER PHARMACY #319 |
| Entity Type | Organization |
| Authorized Contact | RAYMOND F BURZYNSKI Director Of 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 | 2021-02-01 |
| Last Update Date | 2021-02-17 |