MEDICARE: GTP INSTITUTIONAL PHCY

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	3336L0003X	Long Term Care Pharmacy	5301008476	MI
2	3336I0012X	Institutional Pharmacy

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	2368783	OTHER		OTHER ID NUMBER-COMMERCIAL NUMBER

General Provider Information

NPI Number	:	1972600807
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	GTP INSTITUTIONAL PHCY

Provider Business Mailing Address
First Line	:	801 S GARFIELD AVE
Second Line	:	306
City	:	TRAVERSE CITY
State	:	MI
Zip	:	49686-3429
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1000 PAVILLIONS CIR
Second Line	:
City	:	TRAVERSE CITY
State	:	MI
Zip	:	49684-3198
Country	:	US
Telephone Number	:	231-932-3010
Fax Number	:	231-946-0906

Authorized Official
Title or Position	:	OWNER
Name	:	DAVID VOICE
Credential	:	RPH
Telephone Number	:	231-947-6105

Provider Enumeration Date	:	09/20/2006
Last Update Date	:	09/11/2025

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