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Great Lakes Rph
Long Term Care Pharmacy in Shelbyville, Michigan
NPI 1023017456

Great Lakes Rph is a Long Term Care Pharmacy based in Shelbyville, MI and is specialized in Long Term Care Pharmacy. Great Lakes Rph practices in Shelbyville, MI. The NPI Number for Great Lakes Rph is 1023017456 and holds a License No. (Michigan).

The current practice location address for Great Lakes Rph is 71 124Th Ave, Shelbyville, MI and can be reached out via phone at 269-672-7774.

Location: 71 124Th Ave, Shelbyville, MI, 49344-9772
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1023017456
Provider Name
Great Lakes Rph
Credential
Provider Entity Type
Organization
Address
71 124Th Ave, Shelbyville, MI, 49344-9772
Phone Number
269-672-7774
Fax Number
Provider Enumeration Date
07/18/2005
Last Update Date
02/15/2025
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Provider's Legacy Identifiers
Identifier Type State Issuer
2343250 01 MI NCPDP #
institution
Provider Business Practice Location Address Details
Address
71 124Th Ave
City
Shelbyville
State
Michigan
Zip
49344-9772
Phone Number
269-672-7774
Fax Number
person
Provider Business Mailing Address Details
Address
71 124Th Ave
City
Shelbyville
State
Michigan
Zip
49344-9772
Phone Number
269-672-7774
Fax Number
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Pharmacy
Speciality
Long Term Care Pharmacy
Taxonomy
3336L0003X
License No.
()
Definition
A pharmacy that dispenses medicinal preparations delivered to patients residing within an intermediate or skilled nursing facility, including intermediate care facilities for mentally retarded, hospice, assisted living facilities, group homes, and other forms of congregate living arrangements.
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