Organization
GREAT LAKES SAV-RITE
Active
Organization
GREAT LAKES SAV-RITE
Active
Other names
Great Lakes Sav-Rite
Organization subpart
No
Provider details
NPI number
Authorized official
OUSSAMA ABDOU (OWNER)
(313) 827-9999
Entity
Organization
Contact information
Practice address
1770 FORT ST, LINCOLN PARK, MI 48146-1904
(313) 827-9999
(313) 827-0999
Mailing address
1770 FORT ST, LINCOLN PARK, MI 48146-1904
(313) 827-9999
(313) 827-0999
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
5301009398
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2374471
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
08/13/2010
Last updated
10/21/2010
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