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GREAT LAKES PHARMACIES I INC NPI 1093823460


NPI Information

NPI: 1093823460
Provider Name: GREAT LAKES PHARMACIES I INC

Doing Business As: VILLAGE PHARMACY

Classification: Pharmacy - 3336C0003X
Entity Type: Organization

Specialization: Community/Retail Pharmacy

Address:
6213 CHICAGO RD SUITE 200
WARREN, MI
ZIP 48092
Phone: (586) 751-7979
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GREAT LAKES PHARMACIES I INC is a community/retail pharmacy pharmacy in Warren, MI. The provider is a pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes. GREAT LAKES PHARMACIES I INC NPI is 1093823460. The provider is registered as an organization entity type.
The provider Is Doing Business As Village Pharmacy.

The provider's business location address is:

6213 CHICAGO RD SUITE 200
WARREN, MI
ZIP 48092
Phone: (586) 751-7979
Fax: (586) 751-0809

The provider's authorized official is Robert Harb .
The authorized official title is Owner/rph and has the following contact phone number (248) 867-1683.

The enumeration date for this NPI number is 8/27/2006 and was last updated on 4/22/2024.


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
13336C0003XPharmacyCommunity/Retail Pharmacy5301004106MICHIGANYes
23336L0003XPharmacyLong Term Care Pharmacy5301004106MICHIGANNo

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
12338499OTHEROTHER ID NUMBER
21617121MEDICAIDMICHIGAN

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: 5/5/2024

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