Great Lakes Pharmacy

LBN: Amp Pharmacy Services
Great Lakes Pharmacy is an health care organization with primary practice located at 1629 S Merriman Rd Suite A, Westland MI 48186-5301. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Long Term Care Pharmacy. Suppliers / Long Term Care Pharmacy is the primary health care specialty. Amp Pharmacy Services can be contacted via phone (734) 729-5253, or through Pierce, Matthew via phone (734) 729-5253.

Contact Information

Primary practice address
1629 S Merriman Rd Suite A Westland MI 48186-5301
Phone: (734) 729-5253
Fax: (734) 405-2306
Website:
Map and Directions
Authorized official contact:
Name: Pierce, Matthew
Phone: (734) 729-5253

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X 5301008307 Michigan
Suppliers / Long Term Care Pharmacy 3336L0003X

Profile Details

NPI number 1023031002
LBN Legal business name Amp Pharmacy Services
DBA Doing business as Great Lakes Pharmacy
Authorized official Pierce, Matthew
Entity Organization
Organization subpart 1 No
Enumeration date Jul 25th, 2006
Last updated Jun 17th, 2008 - about 18 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 1023031002 NPPES
Michigan MEDICAID 2367995
Michigan Other 2367995

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