Great Lakes R.Ph. Corp in Shelbyville - Community/retail Pharmacy
Great Lakes R.Ph. Corp - NPI 1902970668
Great Lakes R.Ph. Corp is a Community/retail Pharmacy in Shelbyville, Michigan. Great Lakes R.Ph. Corp practices all healthcare services and medical treatments related to Community/retail Pharmacy. The NPI Number for Great Lakes R.Ph. Corp is 1902970668. The last update date is 2019-12-16.
Great Lakes R.Ph. Corp's current location address is 71 124th Ave, Shelbyville, Michigan. You can contact this provider via phone number 2696727774 and fax number 2696727887. The mailing address for Great Lakes R.Ph. Corp is 71 124th Ave, Shelbyville, Michigan. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Great Lakes R.Ph. Corp |
|---|---|
| Address | 71 124th Ave, Shelbyville, Michigan |
| Phone Number | 2696727774 |
| Fax Number | 2696727887 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER |
|---|---|
| Authorized Official Name | Holtz A Michael |
| Telephone Number | 2697923790 |
NPI Number Detail
| NPI Number | 1902970668 |
|---|---|
| Provider Enumeration Date | 2006-11-17 |
| Last Updated Date | 2019-12-16 |
Provider Mailing Address Detail
| Address | 71 124th Ave |
|---|---|
| City | Shelbyville |
| State | Michigan (MI) |
| Post Code | 493449772 |
| Phone Number | 2696727774 |
| Fax Number | 2696727887 |
Provider's Primary Taxonomy Detail
| Speciality | Community/retail Pharmacy |
|---|---|
| Taxonomy | 3336C0003X |
| Licence No | 5301007296 |
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Definition: 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 pr |
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What is the unique identifier code issued to Great Lakes R.Ph. Corp by the Centers for Medicare & Medicaid Services (CMS)?
The Great Lakes R.Ph. Corp has been assigned the NPI (National Provider Identifier) 1902970668. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you share the physical location details of Great Lakes R.Ph. Corp?
The Great Lakes R.Ph. Corp is situated at 71 124Th Ave, in the city of Shelbyville, state of MI, with the zip code 493449772.
What is Great Lakes R.Ph. Corp's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Great Lakes R.Ph. Corp's specialized field of practice is Community/retail Pharmacy, and the corresponding taxonomy code that categorizes this area of specialization is 3336C0003X.
On what date did the Centers for Medicare & Medicaid Services issue the 1902970668 to Great Lakes R.Ph. Corp?
The Great Lakes R.Ph. Corp received its 1902970668 assignment from the Centers for Medicare & Medicaid Services on 2006-11-17.
As of what date were the details related to Great Lakes R.Ph. Corp most recently updated or revised?
The information pertaining to Great Lakes R.Ph. Corp, including its address, specialty, and other relevant details, was last updated or revised on 2019-12-16.