# MEIJER STORES LIMITED PARTNERSHIP

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Meijer Pharmacy \#325
- **Organization subpart:** No

## Provider details

- **NPI number:** 1013668870
- **Authorized official:** IAN NAGY RPH (MANAGER GOVERNMENT MANAGED GCARE)
- **Authorized official phone:** (616) 249-6272

## Contact information

- **Practice address:** 4934 FULTON DR NW, CANTON, OH 44718-2392
- **Practice address phone:** (234) 804-0884
- **Practice address fax:** (234) 804-0875
- **Mailing address:** 2929 WALKER AVE NW, GRAND RAPIDS, MI 49544-6402
- **Mailing address phone:** (616) 791-3485
- **Mailing address fax:** (616) 735-8532

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332B00000X | Durable Medical Equipment & Medical Supplies | — | NULL | — |
| 333600000X | Pharmacy | — | NULL | Yes |

## Other

- **Enumeration date:** 01/13/2022
- **Last updated:** 01/13/2022