Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Meijer Stores Limited Partnership

Organization Durable Medical Equipment & Medical Supplies · NPI 1104458140

Meijer Stores Limited Partnership is a Durable Medical Equipment & Medical Supplies in Manitowoc, Wisconsin. Registered with an NPI since 2020.

In the registry since
2020
Specialties on file
2
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Practice location Address checks out

1818 S Rapids Rd
Manitowoc, WI 54220-9302
Phone: (920) 663-3846
Fax: (920) 663-3865
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Community/Retail Pharmacy (primary) Taxonomy 3336C0003X
Durable Medical Equipment & Medical Supplies Taxonomy 332B00000X

Record details

NPI number1104458140
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Raymond Burzynski — Director Of Pharmacy Managed Care · (616) 249-6583
Other names Meijer Pharmacy #304; Meijer Pharmacy #304
NPI enumeratedFebruary 7, 2020
Last updated in NPPESJuly 9, 2020
Certification dateJuly 9, 2020
Mailing address2929 Walker Ave Nw, Grand Rapids, MI 49544-6402

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