Organization · Type 2 NPI

Great Lakes R.ph. Corp

Community/Retail Pharmacy · Shelbyville, MI

NPI number 1902970668 Active

Practice location

71 124th Ave
Shelbyville, MI 49344

Fax (269) 672-7887

Specialties and licenses

Taxonomy	Code	License
Durable Medical Equipment & Medical Supplies	332B00000X	None listed
Pharmacy	333600000X	5301007296 (MI)
Community/Retail Pharmacy Primary	3336C0003X	5301007296 (MI)

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 …

4 other providers at this address

NPI record

NPI: 1902970668
Entity type: Organization (Type 2)
Issued: Nov 17, 2006
Last updated: Dec 16, 2019
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

Michael A Holtz
Owner
(269) 792-3790

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.

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About NPI 1902970668

Great Lakes R.ph. Corp's National Provider Identifier is 1902970668, issued on Nov 17, 2006. The primary taxonomy on file is Community/Retail Pharmacy (3336C0003X), and the practice location is in Shelbyville, MI. The record was last updated on Dec 16, 2019.