# MEIJER STORES LIMITED PARTNERSHIP

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Meijer Pharmacy \#332
- **Organization subpart:** No

## Provider details

- **NPI number:** 1669234878
- **Authorized official:** JOSEPH BACK (DIRECTOR OF MANAGED CARE PROGRAMS)
- **Authorized official phone:** (616) 791-3346

## Contact information

- **Practice address:** 1505 NORTH MAIN STREET, NORTH CANTON, OH 44720
- **Practice address phone:** (234) 236-2610
- **Practice address fax:** (234) 236-2625
- **Mailing address:** 2929 WALKER AVE NW, GRAND RAPIDS, MI 49544-6402

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332B00000X | Durable Medical Equipment & Medical Supplies | — | NULL | — |
| 3336C0003X | Community/Retail Pharmacy | — | NULL | Yes |

## Other

- **Enumeration date:** 01/24/2024
- **Last updated:** 01/24/2024