Great Lakes Ltc Pharmacy Llc, NPI 1013652163
Long Term Care Pharmacy in Toledo, OH, US

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NPI number: what is it?

The NPI, or National Provider Identifier, is a non-repeatable number for health care providers. The NPI always consists of 10 digits and is used for administrative and financial procedures. The NPI wa...

NPI 1013652163
NPI Entity Type Organization
Provider Name Great Lakes Ltc Pharmacy Llc
Enumeration Date September 30, 2009
Last Update Date September 30, 2009
Certification Date September 30, 2009
Provider Location Address 4260 Monroe St, Toledo, OH, US
Provider Mailing Address 4260 Monroe St, Toledo, OH, US, 436061944
Gender Male
Is Sole Proprietor? No
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Organization Official

Official Name R.PH Hassan Ismail
Official Position PHARMACIST/OWNER
Phone 313-982-3220

Primary Taxonomy

Taxonomy Code

3336L0003X

Taxonomy Name Long Term Care Pharmacy
Classification

Pharmacy

Group

Suppliers

Description 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.

Business Address

Great Lakes Ltc Pharmacy Llc
4260 Monroe St

Toledo, OH, US

Phone: 313-982-3220
Fax: 313-982-3221

Mailing Address

Great Lakes Ltc Pharmacy Llc
4260 Monroe St
Toledo, OH, US
ZIP 436061944
Phone: 313-982-3220
Fax: 313-982-3221

Secondary Taxonomies

Taxonomy Code Group Classification License No. State Primary?

3336C0003X

Suppliers

Pharmacy

No

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