Great Lakes R.ph. Corp
NPI #1902970668 in Shelbyville, Michigan
Provider Information
- NPI Number
- 1902970668
- Entity Type
- Organization
- Organization Name
- Great Lakes R.ph. Corp
- Primary Specialty
- Pharmacy - Community/Retail Pharmacy
- Enumeration Date
- Nov 17, 2006
- Last Updated
- Dec 16, 2019
Practice Location
- Address
- 71 124TH AVE
- City
- Shelbyville
- State
- Michigan
- ZIP Code
- 49344
- Phone
- (269) 672-7774
Authorized Official
- Name
- MICHAEL A HOLTZ
- Title
- OWNER
- Phone
- (269) 792-3790
Specialties & Taxonomy Codes
| Specialty |
|---|
| Durable Medical Equipment & Medical Supplies |
| Pharmacy |
| Pharmacy - Community/Retail Pharmacy — Community/Retail Pharmacy |
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