Organization · Type 2 NPI

Great Lakes RPH

Long Term Care Pharmacy · Shelbyville, MI

NPI number 1023017456 Active

Practice location

71 124th Ave
Shelbyville, MI 49344-9772

Specialties and licenses

Taxonomy	Code	License
Long Term Care Pharmacy Primary	3336L0003X	None listed

Long Term Care Pharmacy: A pharmacy that dispenses medicinal preparations delivered to patients residing within an intermediate or skilled nursing facility, including intermediate care facilities, hospice, assisted living facilities, group homes, and other forms of congregate living arrangements.

4 other providers at this address

Other long term care pharmacy providers in Shelbyville

Great Lakes R.ph. CorpLong Term Care Pharmacy Shelbyville, MI NPI 1689481236

See all in Shelbyville →

NPI record

NPI: 1023017456
Entity type: Organization (Type 2)
Issued: Jul 18, 2005
Last updated: Dec 17, 2024
Status: Active

Other names

<unavail>
Gun Lake Pharmacy · doing business as
Weick's Pharmacy · doing business as
Weick's Pharmacy · doing business as

Authorized official

Mr. Michael A Holtz, R.PH.
Pharmacist/owner
(269) 672-7774

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

Is this your record? How to update it.

About NPI 1023017456

Great Lakes RPH's National Provider Identifier is 1023017456, issued on Jul 18, 2005. The primary taxonomy on file is Long Term Care Pharmacy (3336L0003X), and the practice location is in Shelbyville, MI. The record was last updated on Dec 17, 2024.