# GREAT LAKES PHARMACIES I INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Village Pharmacy
- **Organization subpart:** No

## Provider details

- **NPI number:** 1619510328
- **Authorized official:** ROBERT HARB RPH (OWNER/RPH)
- **Authorized official phone:** (248) 867-1683

## Contact information

- **Practice address:** 6213 CHICAGO RD STE 200, WARREN, MI 48092-1697
- **Practice address phone:** (586) 751-7979
- **Practice address fax:** (586) 751-0809
- **Mailing address:** 6213 CHICAGO RD STE 200, WARREN, MI 48092-1697
- **Mailing address phone:** (586) 751-7979
- **Mailing address fax:** (586) 751-0809

## Taxonomy

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

## Other

- **Enumeration date:** 10/25/2019
- **Last updated:** 04/22/2024
