Hackley Professional Pharmacy, Inc

LBN: Hackley Professional Pharmacy, Inc
Hackley Professional Pharmacy, Inc is an health care organization with primary practice located at 1675 Leahy St Ste 111 , Muskegon MI 49442-5538. The organization recently has only one registered license in Suppliers / Specialty Pharmacy, which is considered as the primary health care specialty. Hackley Professional Pharmacy, Inc can be contacted via phone (231) 672-7822, or through Zdybel, Tara via phone (231) 672-4899.

Contact Information

Primary practice address
1675 Leahy St Ste 111 Muskegon MI 49442-5538
Phone: (231) 672-7822
Fax: (231) 672-8425
Website:
Map and Directions
Authorized official contact:
Name: Zdybel, Tara PHARMD
Phone: (231) 672-4899

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Specialty Pharmacy 3336S0011X

Profile Details

NPI number 1013626639
LBN Legal business name Hackley Professional Pharmacy, Inc
DBA Doing business as
Authorized official Zdybel, Tara PHARMD
Entity Organization
Organization subpart 1 No
Enumeration date Nov 22nd, 2022
Last updated Nov 22nd, 2022 - about 2 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 1013626639 NPPES
Michigan MEDICAID 1497896351

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