Great Lakes Cancer Mgmt Specialists
Non-pharmacy Dispensing Site
19229 Mack Ave Ste 24, Grosse Pointe Woods
Michigan, 48236-2857
313-884-5522 313-884-5737
Great Lakes Cancer Mgmt Specialists is a Non-pharmacy Dispensing Site in Grosse Pointe Woods, Michigan. It is located at 19229 Mack Ave Ste 24, Grosse Pointe Woods and it's customer support contact number is 313-884-5522. The authorized person of Great Lakes Cancer Mgmt Specialists is Roxanne Clark, MPA,FAAMA who is Chief Fin.officer of the pharmacy and his contact number is 313-884-5524. Active license number of Great Lakes Cancer Mgmt Specialists is 4301406109 for Non-pharmacy Dispensing Site in Michigan.
Great Lakes Cancer Mgmt Specialists is a site other than a pharmacy that dispenses medicinal preparations under the supervision of a physician to patients for self-administration. (e.g. physician offices, ER, Urgent Care Centers, Rural Health Facilities, etc.)
Pharmacy Details:
Great Lakes Cancer Mgmt Specialists type, location, contact phone number and fax are as below. Patients can directly walkin to the pharmacy or can call on the below given customer support phone number for enquiries.
| Name: | Great Lakes Cancer Mgmt Specialists |
| Type: | Non-pharmacy Dispensing Site |
| Location: | 19229 Mack Ave Ste 24, Grosse Pointe Woods,
Michigan, 48236-2857 |
| Phone: | 313-884-5522 |
| Fax: | 313-884-5737 |
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints of this pharmacy is as below. Person's position and contact details are also mentioned below.
| Name: | Roxanne Clark |
| Credentials: | MPA,FAAMA |
| Position: | Chief Fin.officer |
| Contact Number: | 313-884-5524 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details of given pharmacy are as mentioned below.
| NPI Number: | 1982702973 |
| NPI Enumeration Date: | 21 Sep, 2006 |
| NPI Last Update On: | 22 Aug, 2020 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Great Lakes Cancer Mgmt Specialists are as mentioned below.
| Specialization | License Number | State | Status | |
| Non-pharmacy Dispensing Site | 4301406109 | Michigan | Primary | |
Other Medical Identifiers:
Other legacy medical identifiers of the pharmacy such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 2367161 | Other | | Other Id Number-commercial Number |
| 2752283 | Medicaid | Michigan | |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | 19229 Mack Ave Ste 24,
Grosse Pointe Woods, Michigan |
| Zip: | 48236-2857 |
| Phone Number: | -- |
Patients can reach Great Lakes Cancer Mgmt Specialists at
19229 Mack Ave Ste 24, Grosse Pointe Woods, Michigan or can
call on customer care at 313-884-5522.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.