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Organization
AMP PHARMACY SERVICES
Active
Organization
AMP PHARMACY SERVICES
Active
Other names
GREAT LAKES PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
MATTHEW PIERCE (OWNER)
(734) 729-5253
Entity
Organization
Contact information
Practice address
1629 S MERRIMAN RD, SUITE A, WESTLAND, MI 48186-5301
(734) 729-5253
(734) 405-2306
Mailing address
1629 S MERRIMAN RD, SUITE A, WESTLAND, MI 48186-5301
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
5301008307
MI
3336L0003X
Long Term Care Pharmacy
Primary
—
NULL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2367995
OTHER ID NUMBER-COMMERCIAL NUMBER
—
05
—
2367995
—
MI
Enumeration date
07/25/2006
Last updated
06/17/2008
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