# AMP PHARMACY SERVICES

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- **Entity:** Organization
- **Status:** Active
- **Other names:** GREAT LAKES PHARMACY
- **Organization subpart:** No

## Provider details

- **NPI number:** 1023031002
- **Authorized official:** MATTHEW PIERCE (OWNER)
- **Authorized official phone:** (734) 729-5253

## Contact information

- **Practice address:** 1629 S MERRIMAN RD, SUITE A, WESTLAND, MI 48186-5301
- **Practice address phone:** (734) 729-5253
- **Practice address fax:** (734) 405-2306
- **Mailing address:** 1629 S MERRIMAN RD, SUITE A, WESTLAND, MI 48186-5301

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 333600000X | Pharmacy | 5301008307 | MI | — |
| 3336L0003X | Long Term Care Pharmacy | — | NULL | Yes |

## Other

- **Enumeration date:** 07/25/2006
- **Last updated:** 06/17/2008

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 2367995 | OTHER ID NUMBER-COMMERCIAL NUMBER | — |
| 05 | — | 2367995 | — | MI |