Organization
MEIJER STORES LIMITED PARTNERSHIP
Active
Other names
Meijer Pharmacy #049
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KEVIN R. HURN RPH (DIRECTOR, PHARMACY ADMINISTRATION)
(616) 791-5185
Entity
Organization
Contact information
Practice address
1155 N 21ST ST, NEWARK, OH 43055-3016
(740) 366-2311
(740) 366-8465
Mailing address
2929 WALKER AVE NW, GRAND RAPIDS, MI 49544-9424
(616) 791-3346
(616) 735-8532
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
0217660
OH
3336C0003X
Community/Retail Pharmacy
Primary
02176600
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0462128
—
OH
Enumeration date
02/07/2007
Last updated
02/21/2013
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