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Organization

GPS OF MICHIGAN LLC

Active
Other names
MEDICINE SHOPPE
Organization subpart
No

Provider details

NPI number
Authorized official
FREDERICK GHANNAM (OWNER)
(810) 232-9270
Entity
Organization

Contact information

Practice address
1201 FLUSHING RD, FLINT, MI 48504-4730
(810) 232-1351
(810) 232-9270
Mailing address
1201 FLUSHING RD, FLINT, MI 48504-4730

Taxonomy

Speciality
Code
Description
License number
State
333600000X
Pharmacy
5301007108
MI
3336C0003X
Community/Retail Pharmacy
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
2349593
OTHER ID NUMBER-COMMERCIAL NUMBER
05
4156144
MI
Enumeration date
04/24/2006
Last updated
03/07/2023
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Product
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  • Eligibility checks
  • EDI platform