Organization
MEIJER STORES LIMITED PARTNERSHIP
Active
Other names
Meijer Pharmacy #328
Organization subpart
No
Provider details
NPI number
Authorized official
JOSEPH BACK RPH (DIRECTOR MANAGED CARE)
(616) 401-4484
Entity
Organization
Contact information
Practice address
2500 CASSOPOLIS ST, ELKHART, IN 46514-5145
(574) 359-7850
(574) 359-7865
Mailing address
2929 WALKER AVE NW, GRAND RAPIDS, MI 49544-6402
(616) 791-3485
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Enumeration date
02/06/2023
Last updated
02/06/2023
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