Organization
MEIJER GREAT LAKES LIMITED PARTNERSHIP
Active
Organization
MEIJER GREAT LAKES LIMITED PARTNERSHIP
Active
Other names
Meijer Pharmacy #272
Organization subpart
No
Provider details
NPI number
Authorized official
MINDY EDGAR PHARMD (DIRECTOR OF MANAGED CARE)
(616) 791-3961
Entity
Organization
Contact information
Practice address
1676 WESTPARK DR, BOWLING GREEN, KY 42104-4712
(270) 495-6710
(270) 495-6765
Mailing address
2929 WALKER AVE NW, GRAND RAPIDS, MI 49544-6402
(616) 581-3994
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
3336C0003X
Community/Retail Pharmacy
Primary
—
—
3336S0011X
Specialty Pharmacy
—
—
Other
Enumeration date
12/18/2018
Last updated
12/18/2018
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