Hackley Pharmacy Muskegon Hts

LBN: Hackley Pharmacy Muskegon Hts
Hackley Pharmacy Muskegon Hts is an health care organization with primary practice located at 2700 Baker St Robert A Warren Bldg, Muskegon Heights MI 49444-2157. The organization recently has 3 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Clinic Pharmacy, Suppliers / Community/Retail Pharmacy. Suppliers / Pharmacy is the primary health care specialty. Hackley Pharmacy Muskegon Hts can be contacted via phone (231) 737-9510, or through Bosse, Carter via phone (231) 728-5974.

Contact Information

Primary practice address
2700 Baker St Robert A Warren Bldg Muskegon Heights MI 49444-2157
Phone: (231) 737-9510
Fax: (231) 739-0837
Website:
Map and Directions
Authorized official contact:
Name: Bosse, Carter
Phone: (231) 728-5974

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X 5301006384 Michigan
Suppliers / Clinic Pharmacy 3336C0002X
Suppliers / Community/Retail Pharmacy 3336C0003X

Profile Details

NPI number 1124169081
LBN Legal business name Hackley Pharmacy Muskegon Hts
DBA Doing business as
Authorized official Bosse, Carter
Entity Organization
Organization subpart 1 No
Enumeration date Feb 12th, 2007
Last updated Sep 12th, 2007 - about 17 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 1124169081 NPPES
Other 2355510 OTHER ID NUMBER-COMMERCIAL NUMBER
Other 2355510 OTHER ID NUMBER-COMMERCIAL NUMBER
MEDICAID 3222835 OTHER ID NUMBER-COMMERCIAL NUMBER

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