Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Great Lakes Compounding Pharmacy

Organization Community/Retail Pharmacy · NPI 1720272016

Great Lakes Compounding Pharmacy is a Community/Retail Pharmacy in Grand Haven, Michigan. Licensed in Michigan. Registered with an NPI since 2007.

Licensed in
MI
In the registry since
2007
Specialties on file
2

Practice location Address checks out

1445 Sheldon Rd 104A
Grand Haven, MI 49417-2480
Phone: (616) 842-1223
Fax: (616) 842-0930
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Community/Retail Pharmacy (primary) Taxonomy 3336C0003X · Licence 5301008607 (MI)
Compounding Pharmacy Taxonomy 3336C0004X

Record details

NPI number1720272016
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationSynanon, Inc
Authorized official Darcy Tussing — Dir Of Phrm · (616) 847-5230
NPI enumeratedAugust 30, 2007
Last updated in NPPESJuly 8, 2008
Mailing address1445 Sheldon Rd, 104a, Grand Haven, MI 49417-2480

Other providers in Grand Haven