Hackley Pharmacy Norton Shores

LBN: Hackley Pharmacy Norton Shores
Hackley Pharmacy Norton Shores is an health care organization with primary practice located at 3535 Park St Ste 104, Muskegon MI 49444-3736. The organization recently has 3 registered licenses in different health care specialties including Suppliers / Community/Retail Pharmacy, Suppliers / Compounding Pharmacy, Suppliers / Institutional Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty. Hackley Pharmacy Norton Shores can be contacted via phone (231) 739-9302, or through Bosse, Carlton via phone (231) 728-5974.

Contact Information

Primary practice address
3535 Park St Ste 104 Muskegon MI 49444-3736
Phone: (231) 739-9302
Fax: (231) 728-1604
Website:
Map and Directions
Authorized official contact:
Name: Bosse, Carlton
Phone: (231) 728-5974

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Community/Retail Pharmacy 3336C0003X 5301008544 Michigan
Suppliers / Compounding Pharmacy 3336C0004X
Suppliers / Institutional Pharmacy 3336I0012X

Profile Details

NPI number 1487793436
LBN Legal business name Hackley Pharmacy Norton Shores
DBA Doing business as
Authorized official Bosse, Carlton
Entity Organization
Organization subpart 1 No
Enumeration date Feb 6th, 2007
Last updated Feb 22nd, 2008 - about 16 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 1487793436 NPPES
Other 2369165 OTHER ID NUMBER
MEDICAID 2369165 OTHER ID NUMBER
Other 2369165 OTHER ID NUMBER

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