Great Lakes R Ph Corp
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.
Practice location Address checks out
71 124th AveShelbyville, MI 49344
Phone: (269) 672-7774
Fax: (269) 672-7887
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
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 number | 1902970668 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Michael Holtz — Owner · (269) 792-3790 |
| Other names | Gun Lake Pharmacy; Weick'S Pharmacy; Weick'S Pharmacy |
| NPI enumerated | November 17, 2006 |
| Last updated in NPPES | December 16, 2019 |
| Certification date | December 16, 2019 |
| Mailing address | 71 124th Ave, Po Box 53, Shelbyville, MI 49344-9772 |