Organization
QPHARMA INC
Active
Parent organization
GREAT LAKES PHYSICIAN PRACTICE PC
Other names
Silver Creek Internal Medicine
Organization subpart
Yes
Provider details
NPI number
Legal business name
GREAT LAKES PHYSICIAN PRACTICE PC
Authorized official
MICHAEL STRUBBE (MANAGING DIRECTOR OF SAMPLES)
(973) 644-2204
Entity
Organization
Contact information
Practice address
113 MAIN ST, SILVER CREEK, NY 14136-1452
(716) 934-4518
(716) 934-7443
Mailing address
45 HORSEHILL RD STE 103, CEDAR KNOLLS, NJ 07927-2009
(973) 656-0011
Taxonomy
Speciality
Code
Description
License number
State
332900000X
Non-Pharmacy Dispensing Site
Primary
—
—
Other
Enumeration date
02/14/2025
Last updated
02/14/2025
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