NPI | 1609146414 |
---|---|
Doing Business As | MEIJER PHARMACY #154 |
Entity Type | Organization |
Authorized Contact | JASON BEAUCH Director Of Pharmacy Managed Care 616-791-3169 |
Organization Subpart ? | No |
Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: IN 60004968A) |
Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: IN 60004968A) |
Enumeration Date | 2012-01-10 |
Last Update Date | 2014-03-24 |