| NPI | 1598805053 |
|---|---|
| Doing Business As | MEIJER PHARMACY #049 |
| Entity Type | Organization |
| Authorized Contact | KEVIN R. HURN Director, Pharmacy Administration 616-791-5185 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: OH 02176600) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: OH 0217660) |
| Enumeration Date | 2007-02-07 |
| Last Update Date | 2013-02-21 |