Organization
GREAT LAKES BAY HEALTH CENTERS
Active
Other names
Great Lakes Bay Health Centers Pharmacy Saginaw
Organization subpart
No
Provider details
NPI number
Authorized official
BRENDA COUGHLIN (PRESIDENT/CEO)
(989) 755-3633
Entity
Organization
Contact information
Practice address
1522 JANES AVE, SAGINAW, MI 48601-1819
(989) 755-3633
(989) 755-3614
Mailing address
501 LAPEER AVE, SAGINAW, MI 48607-1203
(989) 759-6400
(989) 759-6423
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
5301007375
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2045515
PK
—
Enumeration date
10/17/2006
Last updated
11/14/2017
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