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Organization

MEIJER STORES LIMITED PARTNERSHIP

Active
Other names
Meijer Pharmacy #325
Organization subpart
No

Provider details

NPI number
Authorized official
IAN NAGY RPH (MANAGER GOVERNMENT MANAGED GCARE)
(616) 249-6272
Entity
Organization

Contact information

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

Taxonomy

Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
333600000X
Pharmacy
Primary

Other

Enumeration date
01/13/2022
Last updated
01/13/2022
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