Organization
MEIJER STORES LIMITED PARTNERSHIP
Active
Other names
Meijer Pharmacy #058
Organization subpart
No
Provider details
NPI number
Authorized official
RAYMOND BURZYNSKI RPH (DIRECTOR OF PHARMACY MANAGED CARE)
(616) 249-6583
Entity
Organization
Contact information
Practice address
6175 SAWMILL RD, DUBLIN, OH 43017-1627
(614) 718-5710
(614) 718-5765
Mailing address
2929 WALKER AVE NW, GRAND RAPIDS, MI 49544-9424
(616) 791-3169
(616) 735-8532
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
02468300
OH
3336C0003X
Community/Retail Pharmacy
Primary
02468300
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0630768
—
OH
Enumeration date
02/07/2007
Last updated
03/29/2021
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