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

Great Lakes Pharmacy

Organization Community/Retail Pharmacy · NPI 1467865337

Great Lakes Pharmacy is a Community/Retail Pharmacy in Mentor, Ohio. Registered with an NPI since 2014.

In the registry since
2014
Specialties on file
3

Practice location Address checks out

9500 Mentor Ave Ste # 110
Mentor, OH 44060-8713
Phone: (440) 352-2500
Fax: (440) 352-2554
Show map & directions

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
Mail Order Pharmacy Taxonomy 3336M0002X

Record details

NPI number1467865337
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Kelly Malkamaki — Pharmacy Manager/Owner · (440) 352-2500
NPI enumeratedJune 8, 2014
Last updated in NPPESMay 17, 2020
Certification dateMay 17, 2020
Mailing address9500 Mentor Ave, Suite # 110, Mentor, OH 44060-8713

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