NPI | 1902245293 |
---|---|
Doing Business As | MEIJER PHARMACY #268 |
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: MI 5301010123) |
Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: MI 5301010123) |
Enumeration Date | 2013-06-19 |
Last Update Date | 2014-03-25 |