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Contact Information

HACKLEY PROFESSIONAL PHARMACY INC
1500 E SHERMAN BLVD
GARDEN LEVEL P-200
MUSKEGON, MI49444
 Phone: 231-672-7825
 Fax: 231-672-6488
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Community/Retail Pharmacy

3336C0003X 58 Medical Supply Company with Pharmacist
 

Pharmacy

333600000X 58 Medical Supply Company with Pharmacist
Indicates primary specialty

NPI Profile & details for HACKLEY PROFESSIONAL PHARMACY INC

NPI Number 1538619036
LBN Legal business name HACKLEY PROFESSIONAL PHARMACY INC
Authorized official KRISTI NAGENGAST - (VP FINANCE)
Entity Organization
Organization subpart 1 No
Enumeration date 10/07/2016
Last updated 09/19/2025 - About 9 months ago
Identifiers
MI License # 5301011026
MI Medicaid 1538619036
Other 2166139 PK
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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