Great Lakes Pharmacy Midland, Llc
Community/Retail Pharmacy
1120 Eastman Ave, Midland
Michigan, 48640-4215
989-835-7911 989-835-6975
Great Lakes Pharmacy Midland, Llc is a Community/Retail Pharmacy in Midland, Michigan. It is located at 1120 Eastman Ave, Midland and it's customer support contact number is 989-835-7911. The authorized person of Great Lakes Pharmacy Midland, Llc is Naif Bazzi, PHARMD who is Owner/ Pharmacist of the pharmacy and his contact number is 313-208-4550. Active license number of Great Lakes Pharmacy Midland, Llc is 5301009642 for Community/Retail Pharmacy in Michigan. Great Lakes Pharmacy Midland, Llc accepts medicare which means medicare covered patients will not be billed for any more than the Medicare deductible and coinsurance.
Great Lakes Pharmacy Midland, 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 Midland, 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 Midland, Llc |
| Type: | Community/Retail Pharmacy |
| Location: | 1120 Eastman Ave, Midland,
Michigan, 48640-4215 |
| Phone: | 989-835-7911 |
| Fax: | 989-835-6975 |
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: | Naif Bazzi |
| Credentials: | PHARMD |
| Position: | Owner/ Pharmacist |
| Contact Number: | 313-208-4550 |
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: | 1942580972 |
| NPI Enumeration Date: | 22 Aug, 2011 |
| NPI Last Update On: | 16 Jul, 2026 |
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 Midland, Llc are as mentioned below.
| Specialization | License Number | State | Status | |
| Community/Retail Pharmacy | 5301009642 | Michigan | Primary | |
| Durable Medical Equipment & Medical Supplies | | | Secondary | |
| 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 |
| 1942580972 | Medicaid | Michigan | |
| 2131633 | Other | | Pk |
Medicare Enrollment:
Great Lakes Pharmacy Midland, Llc is enrolled in medicare and it's Pac Id, enrollment Id, registered name and type is as stated below.
| PAC ID: |
Enrollment ID: |
Org Name | Medicare Entity Type |
| 0446427868 | O20120125000276 | Pioneer Pharmacy Consulting Llc | DME SUPPLIER - PHARMACY |
| 0446427868 | O20130923000799 | Pioneer Pharmacy Consulting Llc | PART B SUPPLIER - MASS IMMUNIZATION (ROSTER BILLER ONLY) |
Products Available:
Great Lakes Pharmacy Midland, Llc has following products available for sale under medicare.
| Products: |
|---|
| • Blood Glucose Monitors & Supplies: Non-mail Order | • Canes & Crutches |
| • Commodes, Urinals, & Bedpans | • Diabetic Shoes & Inserts: Custom Fabricated |
| • Diabetic Shoes & Inserts: Prefabricated | • Heat & Cold Applications |
| • Orthoses: Off-the-shelf | • Ostomy Supplies |
| • Seat Lift Mechanisms | • Surgical Dressings |
| • Urological Supplies | • Walkers |
| • Wheelchair Seating/cushions | • Wheelchairs & Accessories: Standard Manual |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | 1120 Eastman Ave,
Midland, Michigan |
| Zip: | 48640-4215 |
| Phone Number: | 989-835-7911 |
| Fax Number: | 989-835-6975 |
Patients can reach Great Lakes Pharmacy Midland, Llc at
1120 Eastman Ave, Midland, Michigan or can
call on customer care at 989-835-7911.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 14 September, 2026.