Organization · Type 2 NPI

Upper Great Lakes Family Health Center

Community/Retail Pharmacy · Houghton, MI

NPI number 1205765989 Active

Practice location

600 Macinnes Dr
Houghton, MI 49931-1144

Fax (906) 483-1811

Specialties and licenses

Taxonomy	Code	License
Community/Retail Pharmacy Primary	3336C0003X	None listed

Community/Retail Pharmacy: A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other …

19 other providers at this address

Other community/retail pharmacy providers in Houghton

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NPI record

NPI: 1205765989
Entity type: Organization (Type 2)
Issued: May 18, 2026
Last updated: May 18, 2026
Status: Active
Subpart: Yes of Upper Great Lakes Family Health Center

Other names

Upper Great Lakes Family Health Pharmacy Houghton · doing business as

Authorized official

Trevor Hodges
CEO
(906) 483-1846

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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.

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About NPI 1205765989

Upper Great Lakes Family Health Center's National Provider Identifier is 1205765989, issued on May 18, 2026. The primary taxonomy on file is Community/Retail Pharmacy (3336C0003X), and the practice location is in Houghton, MI. The record was last updated on May 18, 2026.