<Unavail>
LBN: Hackley Professional Pharmacy Inc
<Unavail> is an health care organization with primary practice located at 1500 E Sherman Blvd Garden Level P-200, Muskegon MI 49444. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty.
Hackley Professional Pharmacy Inc can be contacted via phone (231) 672-7825, or through Nagengast, Kristi via phone (231) 728-1950.
Contact Information
Primary practice address
1500 E Sherman Blvd Garden Level P-200
Muskegon MI 49444
Phone: (231) 672-7825
Fax: (231) 672-6488
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Pharmacy | 333600000X | ||
| Suppliers / Community/Retail Pharmacy | 3336C0003X | 5301011026 | Michigan |
Profile Details
| NPI number | 1538619036 |
|---|---|
| LBN Legal business name | Hackley Professional Pharmacy Inc |
| DBA Doing business as | <Unavail> |
| Authorized official | Nagengast, Kristi |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Oct 7th, 2016 |
| Last updated | Sep 19th, 2025 - about last year |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1538619036 | NPPES |
| Other | 2166139 | PK | |
| MEDICAID | 1538619036 | PK |
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