Organization
MEIJER STORES LIMITED PARTNERSHIP
Active
Other names
Meijer Pharmacy #331
Organization subpart
No
Provider details
NPI number
Authorized official
JOSEPH BACK (DIRECTOR OF MANAGED CARE)
(616) 791-3346
Entity
Organization
Contact information
Practice address
2500 W STATE ST, ALLIANCE, OH 44601-5605
(234) 268-1410
(234) 268-1445
Mailing address
2929 WALKER AVE NW, GRAND RAPIDS, MI 49544-6402
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Enumeration date
01/22/2024
Last updated
01/22/2024
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