Great Lakes Pharmacy

LBN: Great Lakes Pharmacy
Great Lakes Pharmacy is an health care organization with primary practice located at 9500 Mentor Ave Suite # 110, Mentor OH 44060-8713. The organization recently has 3 registered licenses in different health care specialties including Suppliers / Community/Retail Pharmacy, Suppliers / Long Term Care Pharmacy, Suppliers / Mail Order Pharmacy. Suppliers / Long Term Care Pharmacy is the primary health care specialty. Great Lakes Pharmacy can be contacted via phone (440) 352-2500, or through Malkamaki, Kelly Anne via phone (440) 352-2500.

Contact Information

Primary practice address
9500 Mentor Ave Suite # 110 Mentor OH 44060-8713
Phone: (440) 352-2500
Fax: (440) 352-2554
Website:
Map and Directions
Authorized official contact:
Name: Malkamaki, Kelly Anne RPH
Phone: (440) 352-2500

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Community/Retail Pharmacy 3336C0003X
Suppliers / Long Term Care Pharmacy 3336L0003X
Suppliers / Mail Order Pharmacy 3336M0002X

Profile Details

NPI number 1467865337
LBN Legal business name Great Lakes Pharmacy
DBA Doing business as
Authorized official Malkamaki, Kelly Anne RPH
Entity Organization
Organization subpart 1 No
Enumeration date Jun 8th, 2014
Last updated May 17th, 2020 - about 4 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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