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

Great Lakes R Ph Corp

Organization Durable Medical Equipment & Medical Supplies · NPI 1902970668

Great Lakes R Ph Corp is a Durable Medical Equipment & Medical Supplies in Shelbyville, Michigan. Licensed in Michigan. Registered with an NPI since 2006.

Licensed in
MI
In the registry since
2006
Specialties on file
3
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
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

Community/Retail Pharmacy (primary) Taxonomy 3336C0003X · Licence 5301007296 (MI)
Durable Medical Equipment & Medical Supplies Taxonomy 332B00000X (MI)
Pharmacy Taxonomy 333600000X · Licence 5301007296 (MI)

Record details

NPI number1902970668
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Michael Holtz — Owner · (269) 792-3790
Other names Gun Lake Pharmacy; Weick'S Pharmacy; Weick'S Pharmacy
NPI enumeratedNovember 17, 2006
Last updated in NPPESDecember 16, 2019
Certification dateDecember 16, 2019
Mailing address71 124th Ave, Po Box 53, Shelbyville, MI 49344-9772