Organization
GPS OF MICHIGAN INSTITUTIONAL
Active
Other names
GPS OF MICHIGAN INSTITUTIONAL
Organization subpart
No
Provider details
NPI number
Authorized official
FRED GHANNAM R PH (CEO OWNER)
(517) 882-5515
Entity
Organization
Contact information
Practice address
1201 KEYSTONE AVE, STE A, LANSING, MI 48911-4041
(517) 882-5515
(517) 882-6313
Mailing address
1201 KEYSTONE AVE, LANSING, MI 48911-4041
(517) 882-5515
(517) 882-6313
Taxonomy
Speciality
Code
Description
License number
State
3336I0012X
Institutional Pharmacy
—
—
3336L0003X
Long Term Care Pharmacy
Primary
5301007720
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0097325145
—
MI
01
—
2364937
NCPDP PROVIDER IDENTIFICATION NUMBER
—
05
—
2364937
—
MI
Enumeration date
06/24/2006
Last updated
09/01/2009
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us