Healthcare Provider Details

I. General information

NPI: 1972600807
Provider Name (Legal Business Name): GTP INSTITUTIONAL PHCY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/20/2006
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1000 PAVILLIONS CIR
TRAVERSE CITY MI
49684-3198
US

IV. Provider business mailing address

801 S GARFIELD AVE 306
TRAVERSE CITY MI
49686-3429
US

V. Phone/Fax

Practice location:
  • Phone: 231-932-3010
  • Fax: 231-946-0906
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3336I0012X
TaxonomyInstitutional Pharmacy
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code3336L0003X
TaxonomyLong Term Care Pharmacy
License Number5301008476
License Number StateMI

VIII. Authorized Official

Name: DAVID VOICE
Title or Position: OWNER
Credential: RPH
Phone: 231-947-6105