| NPI | 1750845889 |
|---|---|
| Doing Business As | MEIJER PHARMACY #308 |
| Entity Type | Organization |
| Authorized Contact | RAYMOND 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 | 2019-01-23 |
| Last Update Date | 2019-09-17 |