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Organization

MEIJER STORES LIMITED PARTNERSHIP

Active
Other names
Meijer Pharmacy #332
Organization subpart
No

Provider details

NPI number
Authorized official
JOSEPH BACK (DIRECTOR OF MANAGED CARE PROGRAMS)
(616) 791-3346
Entity
Organization

Contact information

Practice address
1505 NORTH MAIN STREET, NORTH CANTON, OH 44720
(234) 236-2610
(234) 236-2625
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
01/24/2024
Last updated
01/24/2024
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