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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.

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Contact Information

HACKLEY PHARMACY MUSKEGON HTS
2700 BAKER ST
ROBERT A WARREN BLDG
MUSKEGON HEIGHTS, MI  49444-2157
 Phone: 231-737-9510
 Fax: 231-739-0837
 Website:
 

Specialty

 Taxonomy Code Specialty Code Provider Type

Pharmacy

 333600000X 58 Medical Supply Company with Pharmacist
 

Clinic Pharmacy

 3336C0002X 58 Medical Supply Company with Pharmacist
 

Community/Retail Pharmacy

 3336C0003X 58 Medical Supply Company with Pharmacist
Indicates primary specialty

NPI Profile & details for HACKLEY PHARMACY MUSKEGON HTS

NPI Number 1124169081
LBN Legal business name HACKLEY PHARMACY MUSKEGON HTS
Authorized official CARTER BOSSE - (DIRECTOR OF PHARMACY)
Entity Organization
Organization subpart 1 No
Enumeration date 02/12/2007
Last updated 09/12/2007 - About 19 years ago
Identifiers
MI License # 5301006384
MI Medicaid 3222835
Other 2355510 OTHER ID NUMBER
Other 2355510 OTHER ID NUMBER-COMMERCIAL NUMBER
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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