Great Lakes Rph
Long Term Care Pharmacy
71 124th Ave, Shelbyville
Michigan, 49344-9772
269-672-7774 Great Lakes Rph is a Long Term Care Pharmacy in Shelbyville, Michigan. It is located at 71 124th Ave, Shelbyville and it's customer support contact number is 269-672-7774. The authorized person of Great Lakes Rph is Mr. Michael A Holtz, R.PH. who is Pharmacist/owner of the pharmacy and his contact number is 269-672-7774.
Great Lakes Rph is a pharmacy that dispenses medicinal preparations delivered to patients residing within an intermediate or skilled nursing facility, including intermediate care facilities for mentally retarded, hospice, assisted living facilities, group homes, and other forms of congregate living arrangements.
Pharmacy Details:
Great Lakes Rph 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 Rph |
| Type: | Long Term Care Pharmacy |
| Location: | 71 124th Ave, Shelbyville,
Michigan, 49344-9772 |
| Phone: | 269-672-7774 |
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: | Mr. Michael A Holtz |
| Credentials: | R.PH. |
| Position: | Pharmacist/owner |
| Contact Number: | 269-672-7774 |
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: | 1023017456 |
| NPI Enumeration Date: | 18 Jul, 2005 |
| NPI Last Update On: | 17 Dec, 2024 |
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 Rph are as mentioned below.
| Specialization | License Number | State | Status | |
| Long Term Care Pharmacy | | | 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 |
| 2343250 | Other | Michigan | Ncpdp # |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | 71 124th Ave, Po Box 53
Shelbyville, Michigan |
| Zip: | 49344-9772 |
| Phone Number: | 269-672-7774 |
Patients can reach Great Lakes Rph at
71 124th Ave, Shelbyville, Michigan or can
call on customer care at 269-672-7774.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.