Hackley Pharmacy Whitehall

LBN: Hackley Professional Pharmacy
Hackley Pharmacy Whitehall is an health care organization with primary practice located at 905 E Colby St , Whitehall MI 49461-1262. The organization recently has 3 registered licenses in different health care specialties including Suppliers / Clinic Pharmacy, Suppliers / Community/Retail Pharmacy, Suppliers / Compounding Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty. Hackley Professional Pharmacy can be contacted via phone (231) 728-5974, or through Bosse, Carlton via phone (231) 728-5974.

Contact Information

Primary practice address
905 E Colby St Whitehall MI 49461-1262
Phone: (231) 728-5974
Fax: (231) 728-1604
Website:
Map and Directions
Authorized official contact:
Name: Bosse, Carlton
Phone: (231) 728-5974

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Clinic Pharmacy 3336C0002X
Suppliers / Community/Retail Pharmacy 3336C0003X 1852218 Michigan
Suppliers / Compounding Pharmacy 3336C0004X

Profile Details

NPI number 1578602520
LBN Legal business name Hackley Professional Pharmacy
DBA Doing business as Hackley Pharmacy Whitehall
Authorized official Bosse, Carlton
Entity Organization
Organization subpart 1 No
Enumeration date Feb 6th, 2007
Last updated Apr 30th, 2009 - 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 1578602520 NPPES
Other 2369153 NCPDP PROVIDER IDENTIFICATION NUMBER

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