Provider Demographics
NPI:1972600807
Name:GTP INSTITUTIONAL PHCY
Entity type:Organization
Organization Name:GTP INSTITUTIONAL PHCY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:
Authorized Official - Last Name:VOICE
Authorized Official - Suffix:
Authorized Official - Credentials:RPH
Authorized Official - Phone:231-947-6105
Mailing Address - Street 1:801 S GARFIELD AVE
Mailing Address - Street 2:306
Mailing Address - City:TRAVERSE CITY
Mailing Address - State:MI
Mailing Address - Zip Code:49686-3429
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:1000 PAVILLIONS CIR
Practice Address - Street 2:
Practice Address - City:TRAVERSE CITY
Practice Address - State:MI
Practice Address - Zip Code:49684-3198
Practice Address - Country:US
Practice Address - Phone:231-932-3010
Practice Address - Fax:231-946-0906
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-20
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
3336I0012X
MI53010084763336L0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered3336I0012XSuppliersPharmacyInstitutional Pharmacy
Not Answered3336L0003XSuppliersPharmacyLong Term Care Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
2368783OtherOTHER ID NUMBER-COMMERCIAL NUMBER