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:
Health care specialties
| Specialty | Code | License # | 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 3 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1962417576 | NPPES |
| Michigan | MEDICAID | 2368024 | |
| Michigan | Other | 2042118 |
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