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

Great Lakes Ltc Pharmacy LLC

Organization Community/Retail Pharmacy · NPI 1013652163

Great Lakes Ltc Pharmacy LLC is a Community/Retail Pharmacy in Toledo, Ohio. Registered with an NPI since 2022.

In the registry since
2022
Specialties on file
2
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

4260 Monroe St
Toledo, OH 43606-1944
Phone: (419) 890-4748
Fax: (419) 890-4822
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Long Term Care Pharmacy (primary) Taxonomy 3336L0003X
Community/Retail Pharmacy Taxonomy 3336C0003X

Record details

NPI number1013652163
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Hassan Ismail — Pharmacist/Owner · (419) 890-4748
NPI enumeratedMay 3, 2022
Last updated in NPPESApril 18, 2023
Certification dateApril 18, 2023
Mailing address4260 Monroe St, Toledo, OH 43606-1944

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