| NPI | 1033677836 |
|---|---|
| Doing Business As | GREAT LAKES PHARMACY OF MIDLAND |
| Entity Type | Organization |
| Authorized Contact | DAVID ALLEN Owner 989-835-7911 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336L0003X Pharmacy, Long Term Care Pharmacy |
| Enumeration Date | 2019-03-11 |
| Last Update Date | 2019-03-13 |