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GREAT LAKES COMPOUNDING PHARMACY
NPI 1720272016
Pharmacy - Community/Retail Pharmacy in Grand Haven, MI

Active since August 30, 2007
1445 SHELDON RD, 104A, GRAND HAVEN, MI 49417(616) 842-1223(616) 842-0930 Get Directions Write a Review

NPPES record last updated: July 8, 2008. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Great Lakes Compounding Pharmacy NPPES

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

GREAT LAKES COMPOUNDING PHARMACY (NPI 1720272016) is a healthcare organization registered as a community/retail pharmacy in Grand Haven, Michigan and active in the NPI registry since August 2007. The organization lists Darcy Tussing, Dir Of Phrm, as its authorized official.

NPPES Registry Identity

NPI1720272016
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NameGREAT LAKES COMPOUNDING PHARMACY
Location Address1445 SHELDON RD, 104AGrand Haven, MI 49417-2480
Mailing Address1445 Sheldon Rd, 104aGrand Haven, MI 49417-2480 · (616) 842-5193 · Fax (616) 842-0930
Phone(616) 842-1223
Fax(616) 842-0930
Organization SubpartYesParent: Synanon, Inc
Authorized OfficialDarcy TussingDir Of Phrm · (616) 847-5230
Enumeration DateAugust 30, 2007
Last NPPES UpdateJuly 8, 2008
✔ NPI 1720272016 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPharmacy · Community/Retail PharmacySuppliers
Taxonomy Code3336C0003X
License✔ Licensed in MI · 5301008607
Definition
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.
Also ListedPharmacy · Compounding PharmacyTaxonomy 3336C0004X
1445 SHELDON RD, Grand Haven, MI 49417
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Other Identifiers 1

Other2369658Other Id Number

Other Providers at the Same Location NPPES 20

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

MEGAN AUFFREY ZAMBIASI MA, LLP
Psychologist
1445 SHELDON RD
GRAND HAVEN, MI 49417
Ottawa County (616) 847-5145
SHAWN PATRICK REIDY MD
Family Medicine
1445 SHELDON RD, STE 300
GRAND HAVEN, MI 49417
Ottawa County (616) 296-1500
PINE REST CHRISTIAN MENTAL HEALTH SERVICES
Psychiatry & Neurology (Psychiatry)
1445 SHELDON RD, HARBOR DUNES HEALTH CENTER
GRAND HAVEN, MI 49417
Ottawa County (616) 847-5145
JENNIFER MARIE ZERKLE FNP-C
Nurse Practitioner
1445 SHELDON RD
GRAND HAVEN, MI 49417
Ottawa County (616) 296-1550
RICHARD ANTHONY BASZLER II D.O.
Orthopaedic Surgery
1445 SHELDON RD
GRAND HAVEN, MI 49417
Ottawa County (616) 296-9100
SHORELINE OPTICAL, LLC
Eyewear Supplier
1445 SHELDON RD, SUITE 100
GRAND HAVEN, MI 49417
Ottawa County (231) 739-9009
SPECTRUM HEALTH PRIMARY CARE PARTNERS
Internal Medicine
1445 SHELDON RD
GRAND HAVEN, MI 49417
Ottawa County (616) 846-1860
KAYLIE DIONNE WATERS RN, BSN
Nurse Practitioner
1445 SHELDON RD, STE 300
GRAND HAVEN, MI 49417
Ottawa County (616) 296-1500

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 Compounding Pharmacy's NPI number?

The NPI number for Great Lakes Compounding Pharmacy is 1720272016. It was assigned to this organization in the NPPES registry on August 30, 2007.

Where is Great Lakes Compounding Pharmacy located?

Great Lakes Compounding Pharmacy is located at 1445 Sheldon Rd 104A, Grand Haven, MI 49417. The listed phone number is (616) 842-1223.

What is Great Lakes Compounding Pharmacy's specialty?

The primary specialty registered for this NPI is Pharmacy, specializing in Community/Retail Pharmacy, with taxonomy code 3336C0003X.

When was this NPI record last updated?

The NPPES record for Great Lakes Compounding Pharmacy was last updated on July 8, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years 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.