# GREAT LAKES PHARMACY MIDLAND, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Great Lakes Pharmacy of Midland
- **Organization subpart:** No

## Provider details

- **NPI number:** 1033677836
- **Authorized official:** NAIF BAZZI PHARMD (OWNER/PHARMACIST)
- **Authorized official phone:** (989) 835-7911

## Contact information

- **Practice address:** 1120 EASTMAN AVE, MIDLAND, MI 48640-4215
- **Practice address phone:** (989) 835-7911
- **Practice address fax:** (989) 835-6975
- **Mailing address:** 1120 EASTMAN AVE, MIDLAND, MI 48640-4215
- **Mailing address phone:** (989) 835-7911
- **Mailing address fax:** (989) 835-6975

## Taxonomy

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

## Other

- **Enumeration date:** 03/11/2019
- **Last updated:** 08/26/2026