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GREAT LAKES BAY HEALTH CENTERS NPI 1164502803


NPI Information

NPI: 1164502803
Provider Name: GREAT LAKES BAY HEALTH CENTERS

Doing Business As: GREAT LAKES BAY HEALTH CENTERS PHARMACY SAGINAW

Classification: Pharmacy - 3336C0003X
Entity Type: Organization

Specialization: Community/Retail Pharmacy

Address:
1522 JANES AVE
SAGINAW, MI
ZIP 48601
Phone: (989) 755-3633
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GREAT LAKES BAY HEALTH CENTERS is a community/retail pharmacy pharmacy in Saginaw, 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 BAY HEALTH CENTERS NPI is 1164502803. The provider is registered as an organization entity type.
The provider Is Doing Business As Great Lakes Bay Health Centers Pharmacy Saginaw.

The provider's business location address is:

1522 JANES AVE
SAGINAW, MI
ZIP 48601-819
Phone: (989) 755-3633
Fax: (989) 755-3614

The provider's authorized official is Brenda Coughlin .
The authorized official title is President/ceo and has the following contact phone number (989) 755-3633.

The enumeration date for this NPI number is 10/17/2006 and was last updated on 11/14/2017.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1333600000XPharmacyNo
23336C0003XPharmacyCommunity/Retail Pharmacy5301007375MICHIGANYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
12045515OTHERPK

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: 4/28/2024

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