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GREAT LAKES R.PH. CORP
NPI 1689481236
Pharmacy - Long Term Care Pharmacy in Shelbyville, MI

Active since December 17, 2024
71 124TH AVE, SHELBYVILLE, MI 49344(269) 672-7774(269) 672-7887 Get Directions Write a Review

NPPES record last updated: December 17, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Great Lakes R.ph. Corp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

GREAT LAKES R.PH. CORP (NPI 1689481236), doing business as Gun Lake Pharmacy, is a healthcare organization registered as a long term care pharmacy in Shelbyville, Michigan and active in the NPI registry since December 2024. The organization lists Michael A Holtz, Pharmacist/owner, as its authorized official.

NPPES Registry Identity

NPI1689481236
Entity TypeOrganization
Primary Taxonomy3336L0003X
Legal Business NameGREAT LAKES R.PH. CORP
Location Address71 124TH AVEShelbyville, MI 49344-9772
Mailing AddressPo Box 53Shelbyville, MI 49344-0053 · (269) 672-7774 · Fax (269) 672-7887
Phone(269) 672-7774
Fax(269) 672-7887
Organization SubpartNo
Authorized OfficialMichael A HoltzPharmacist/owner · (269) 998-6772
Enumeration DateDecember 17, 2024
NPPES CertifiedDecember 17, 2024
✔ NPI 1689481236 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPharmacy · Long Term Care PharmacySuppliers
Taxonomy Code3336L0003X
Definition
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.
71 124TH AVE, Shelbyville, MI 49344
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Other Names 1

Doing Business AsGun Lake Pharmacy

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

GREAT LAKES RPH
Pharmacy (Long Term Care Pharmacy)
71 124TH AVE
SHELBYVILLE, MI 49344
Allegan County (269) 672-7774
MR. MICHAEL A HOLTZ R.PH.
Pharmacist
71 124TH AVE
SHELBYVILLE, MI 49344
Allegan County (269) 672-7774
GREAT LAKES R.PH. CORP
Pharmacy (Community/Retail Pharmacy)
71 124TH AVE
SHELBYVILLE, MI 49344
Allegan County (269) 672-7774

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Great Lakes R.Ph. Corp's NPI number?

The NPI number for Great Lakes R.Ph. Corp is 1689481236. It was assigned to this organization in the NPPES registry on December 17, 2024. The provider is doing business as Gun Lake Pharmacy.

Where is Great Lakes R.Ph. Corp located?

Great Lakes R.Ph. Corp is located at 71 124th Ave, Shelbyville, MI 49344. The listed phone number is (269) 672-7774.

What is Great Lakes R.Ph. Corp's specialty?

The primary specialty registered for this NPI is Pharmacy, specializing in Long Term Care Pharmacy, with taxonomy code 3336L0003X.

When was this NPI record last updated?

The NPPES record for Great Lakes R.Ph. Corp was last updated on December 17, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.