National Provider Identifier Database

HACKLEY PHARMACY NORTON SHORES
Community/Retail Pharmacy

A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes.


Contact Information

HACKLEY PHARMACY NORTON SHORES
3535 PARK ST
STE 104
MUSKEGON, MI49444-3736
Phone: 231-739-9302
Fax: 231-728-1604
Website:
Specialty Taxonomy Code
* Community/Retail Pharmacy 3336C0003X
Compounding Pharmacy 3336C0004X
Institutional Pharmacy 3336I0012X

* Indicates primary specialty

NPI Profile & details for HACKLEY PHARMACY NORTON SHORES

NPI Number 1487793436
Legal business name
LBN
HACKLEY PHARMACY NORTON SHORES
Authorized official CARLTON BOSSE - (DIRECTOR OF PHARMACY)
Entity Organization
Organization subpart No
Enumeration date 02/06/2007
Last updated 02/22/2008 - About 18 years ago
Sole proprietor1 Not specified
Identifiers
  • MI License #: 5301008544
  • MI Medicaid: 2369165
  • Other: 2369165 OTHER ID NUMBER
  • Other: 2369165 OTHER ID NUMBER-COMMERCIAL NUMBER

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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