| NPI | 1023168341 |
|---|---|
| Doing Business As | GREAT LAKES DRUG COMPANY |
| Entity Type | Organization |
| Authorized Contact | STEVEN ROTSTEIN Supv Phrm 212-942-8785 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: NY 022920) |
| Additional Taxonomies | 333600000X Pharmacy |
| 332B00000X Durable Medical Equipment & Medical Supplies | |
| Enumeration Date | 2007-01-11 |
| Last Update Date | 2010-06-09 |