Great Lakes Pharmacy LLC
NPI #1932648896 in Wyandotte, Michigan
Provider Information
- NPI Number
- 1932648896
- Entity Type
- Organization
- Organization Name
- Great Lakes Pharmacy LLC
- Primary Specialty
- Pharmacy - Community/Retail Pharmacy
- Enumeration Date
- Feb 13, 2017
- Last Updated
- Apr 20, 2017
Practice Location
Authorized Official
- Name
- ANIRUDDHA PATHAK, RPH
- Title
- MGR,PIC, AO
- Phone
- (443) 783-5539
Specialties & Taxonomy Codes
| Specialty |
|---|
| Pharmacy |
| Pharmacy - Community/Retail Pharmacy — Community/Retail Pharmacy |
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