Great Lakes Pharmacy Llc

LBN: Great Lakes Pharmacy Llc
Great Lakes Pharmacy Llc is an health care organization with primary practice located at 3247 Biddle Ave Ste A , Wyandotte MI 48192-5951. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty. Great Lakes Pharmacy Llc can be contacted via phone (734) 224-6400, or through Pathak, Aniruddha via phone (443) 783-5539.

Contact Information

Primary practice address
3247 Biddle Ave Ste A Wyandotte MI 48192-5951
Phone: (734) 224-6400
Fax: (734) 224-6500
Website:
Map and Directions
Authorized official contact:
Name: Pathak, Aniruddha RPH
Phone: (443) 783-5539

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X 5301011109 Michigan

Profile Details

NPI number 1932648896
LBN Legal business name Great Lakes Pharmacy Llc
DBA Doing business as Great Lakes Pharmacy Llc
Authorized official Pathak, Aniruddha RPH
Entity Organization
Organization subpart 1 No
Enumeration date Feb 13th, 2017
Last updated Apr 20th, 2017 - about 7 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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Identifiers

StateTypeNumberIssuer
All States NPI 1932648896 NPPES
Other 2167778 PK

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