Great Lakes Physicians Of Southfield, Llc is not a DME supplier for medicare equipments and products.
Great Lakes Physicians Of Southfield, Llc is a Non-pharmacy Dispensing Site in Southfield, Michigan. This pharmacy is owned and operated by Home Clinic Pc. This organization is also known as sub part of Home Clinic Pc. It is located at 23999 Northwestern Hwy, Southfield and it's customer support contact number is 248-223-1500. The authorized person of Great Lakes Physicians Of Southfield, Llc is Paul Petre, MD who is Owner of the pharmacy and his contact number is 248-223-1500. Great Lakes Physicians Of Southfield, Llc 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 Physicians Of Southfield, 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.
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:
Paul Petre
Credentials:
MD
Position:
Owner
Contact Number:
248-223-1500
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:
1710202825
Parent Organization:
Home Clinic Pc
NPI Enumeration Date:
31 Mar, 2010
NPI Last Update On:
07 Mar, 2011
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 Physicians Of Southfield, Llc are as mentioned below.
Specialization
License Number
State
Status
Non-pharmacy Dispensing Site
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
MI1676
Other
Ptan
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
2980 N Beverly Glen Cir, Ste 301 Los Angeles, California
Zip:
90077-1726
Phone Number:
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Fax Number:
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Patients can reach Great Lakes Physicians Of Southfield, Llc at 23999 Northwestern Hwy, Southfield, Michigan or can call on customer care at 248-223-1500.
Comments/ Reviews:
*Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 11 November, 2024.
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