Great Lakes Pharmacy Llc
Community/Retail Pharmacy
3247 Biddle Ave Ste A, Wyandotte
Michigan, 48192-5951
734-224-6400 734-224-6500
Great Lakes Pharmacy Llc is not a DME supplier for medicare equipments and products.
Great Lakes Pharmacy Llc is a Community/Retail Pharmacy in Wyandotte, Michigan. It is located at 3247 Biddle Ave Ste A, Wyandotte and it's customer support contact number is 734-224-6400. The authorized person of Great Lakes Pharmacy Llc is Aniruddha Pathak, RPH who is Mgr,pic, Ao of the pharmacy and his contact number is 443-783-5539. Active license number of Great Lakes Pharmacy Llc is 5301011109 for Community/Retail Pharmacy in Michigan.
Great Lakes Pharmacy Llc is 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.
Pharmacy Details:
Great Lakes Pharmacy Llc 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 Pharmacy Llc |
| Type: | Community/Retail Pharmacy |
| Location: | 3247 Biddle Ave Ste A, Wyandotte, Michigan, 48192-5951 |
| Phone: | 734-224-6400 |
| Fax: | 734-224-6500 |
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: | Aniruddha Pathak |
| Credentials: | RPH |
| Position: | Mgr,pic, Ao |
| Contact Number: | 443-783-5539 |
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: | 1932648896 |
| NPI Enumeration Date: | 13 Feb, 2017 |
| NPI Last Update On: | 20 Apr, 2017 |
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 Pharmacy Llc are as mentioned below.
| Specialization | License Number | State | Status | |
| Community/Retail Pharmacy | 5301011109 | Michigan | Primary | |
| Pharmacy | | | Secondary | |
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 |
| 2167778 | Other | | Pk |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | 3247 Biddle Ave Ste A, Wyandotte, Michigan |
| Zip: | 48192-5951 |
| Phone Number: | 734-224-6400 |
| Fax Number: | 734-224-6500 |
Patients can reach Great Lakes Pharmacy Llc at
3247 Biddle Ave Ste A, Wyandotte, Michigan or can
call on customer care at 734-224-6400.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.