Trinity Health Pharmacy - Lakes Village

LBN: Hackley Professional Pharmacy, Inc
Trinity Health Pharmacy - Lakes Village is an health care organization with primary practice located at 6401 Prairie St Ste 1100 , Norton Shores MI 49444-7839. 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) 672-7821, or through Nagengast, Kristi Karole via phone (231) 728-1950.

Contact Information

Primary practice address
6401 Prairie St Ste 1100 Norton Shores MI 49444-7839
Phone: (231) 672-7821
Fax: (231) 727-7971
Website:
Map and Directions
Authorized official contact:
Name: Nagengast, Kristi Karole
Phone: (231) 728-1950

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X 5301008308 Michigan

Profile Details

NPI number 1962417576
LBN Legal business name Hackley Professional Pharmacy, Inc
DBA Doing business as Trinity Health Pharmacy - Lakes Village
Authorized official Nagengast, Kristi Karole
Entity Organization
Organization subpart 1 Yes
Enumeration date Jul 30th, 2006
Last updated Nov 10th, 2022 - about 4 years ago

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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1962417576 NPPES
Michigan MEDICAID 2368024
Michigan Other 2042118

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