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

Great Lakes R Ph Corp

Organization Long Term Care Pharmacy · NPI 1689481236

Great Lakes R Ph Corp is a Long Term Care Pharmacy in Shelbyville, Michigan. Registered with an NPI since 2024.

In the registry since
2024
What do these letters mean?
Corp — Corporation
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

71 124th Ave
Shelbyville, MI 49344-9772
Phone: (269) 672-7774
Fax: (269) 672-7887
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

Record details

NPI number1689481236
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Michael Holtz — Pharmacist/Owner · (269) 998-6772
Other names Gun Lake Pharmacy
NPI enumeratedDecember 17, 2024
Last updated in NPPESDecember 17, 2024
Certification dateDecember 17, 2024
Mailing addressPo Box 53, Shelbyville, MI 49344-0053

Other providers in Shelbyville