Organization
GPS OF MICHIGAN INSTITUTIONAL PHARMACY LLC
Active
Other names
GPS of Michigan Institutional Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
MR. FREDRICK GHANNAM R.PH. (CEO, OWNER)
(248) 895-3784
Entity
Organization
Contact information
Practice address
5635 COMMERCE ST, SUITE C, LANSING, MI 48911-5347
(517) 882-5515
(517) 882-6313
Mailing address
PO BOX 993, NOVI, MI 48376-0993
(517) 882-5515
(248) 449-0960
Taxonomy
Speciality
Code
Description
License number
State
1835P1200X
Pharmacotherapy Pharmacist
Primary
5301007720
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5301007720
STATE LICENSE NUMBER
MI
Enumeration date
04/24/2006
Last updated
03/07/2023
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