GREAT LAKES RPH NPI 1023017456

NPI Information

  • NPI: 1023017456
  • Provider Name: GREAT LAKES RPH
  • Classification: Pharmacy - 3336L0003X
  • Specialization: Long Term Care Pharmacy
  • Entity Type: Organization
  • Doing Business As: WEICK'S PHARMACY
  • Address: 71 124TH AVE
    SHELBYVILLE, MI
    ZIP 49344
  • Phone: (269) 672-7774

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NPI Details

GREAT LAKES RPH is a long term care pharmacy pharmacy in Shelbyville, MI. The provider is a pharmacy that dispenses medicinal preparations delivered to patients residing within an intermediate or skilled nursing facility, including intermediate care facilities, hospice, assisted living facilities, group homes, and other forms of congregate living arrangements. GREAT LAKES RPH NPI is 1023017456. The provider is registered as an organization entity type.
The provider Is Doing Business As Weick's Pharmacy.

The provider's business location address is:

71 124TH AVE
SHELBYVILLE, MI
ZIP 49344-772
Phone: (269) 672-7774

The provider's authorized official is Michael A Holtz .
The authorized official title is Pharmacist/owner and has the following contact phone number (269) 672-7774.

The enumeration date for this NPI number is 7/18/2005 and was last updated on 12/17/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
13336L0003XPharmacyLong Term Care PharmacyYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
12343250OTHERMICHIGANNCPDP #

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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