National Provider Identifier Database

HACKLEY PHARMACY MUSKEGON HTS
Pharmacy

A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located.


Contact Information

HACKLEY PHARMACY MUSKEGON HTS
2700 BAKER ST
ROBERT A WARREN BLDG
MUSKEGON HEIGHTS, MI49444-2157
Phone: 231-737-9510
Fax: 231-739-0837
Website:
Specialty Taxonomy Code
* Pharmacy 333600000X
Clinic Pharmacy 3336C0002X
Community/Retail Pharmacy 3336C0003X

* Indicates primary specialty

NPI Profile & details for HACKLEY PHARMACY MUSKEGON HTS

NPI Number 1124169081
Legal business name
LBN
HACKLEY PHARMACY MUSKEGON HTS
Authorized official CARTER BOSSE - (DIRECTOR OF PHARMACY)
Entity Organization
Organization subpart No
Enumeration date 02/12/2007
Last updated 09/12/2007 - About 19 years ago
Sole proprietor1 Not specified
Identifiers
  • MI License #: 5301006384
  • MI Medicaid: 3222835
  • Other: 2355510 OTHER ID NUMBER
  • Other: 2355510 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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