Organization
GREAT LAKES PHARMACY MIDLAND, LLC
Active
Other names
Great Lakes Pharmacy of Midland
Organization subpart
No
Provider details
NPI number
Authorized official
NAIF BAZZI PHARMD (OWNER/PHARMACIST)
(989) 835-7911
Entity
Organization
Contact information
Practice address
1120 EASTMAN AVE, MIDLAND, MI 48640-4215
(989) 835-7911
(989) 835-6975
Mailing address
1120 EASTMAN AVE, MIDLAND, MI 48640-4215
(989) 835-7911
(989) 835-6975
Taxonomy
Speciality
Code
Description
License number
State
3336L0003X
Long Term Care Pharmacy
Primary
—
—
Other
Enumeration date
03/11/2019
Last updated
07/23/2026
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