Hackley Pharmacy Muskegon Hts, NPI 1124169081
Pharmacy in Muskegon Heights, MI, US

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NPI number: what is it?

The NPI, or National Provider Identifier, is a non-repeatable number for health care providers. The NPI always consists of 10 digits and is used for administrative and financial procedures. The NPI wa...

NPI 1124169081
NPI Entity Type Organization
Provider Name Hackley Pharmacy Muskegon Hts
Enumeration Date September 30, 2009
Last Update Date September 30, 2009
Provider Location Address 2700 Baker St, Robert A Warren Bldg, Muskegon Heights, MI, US
Provider Mailing Address 2700 Baker St, Robert A Warren Bldg, Muskegon Heights, MI, US, 494442157
Is Sole Proprietor? No
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Organization Official

Official Name Carter Bosse
Official Position DIRECTOR OF PHARMACY
Phone 231-728-5974

Primary Taxonomy

Taxonomy Code

333600000X

Taxonomy Name Pharmacy
Classification

Pharmacy

Group

Suppliers

License No. 5301006384
License State MI
Description A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located.

Business Address

Hackley Pharmacy Muskegon Hts
2700 Baker St
Robert A Warren Bldg

Muskegon Heights, MI, US

Phone: 231-737-9510
Fax: 231-739-0837

Mailing Address

Hackley Pharmacy Muskegon Hts
2700 Baker St
Robert A Warren Bldg
Muskegon Heights, MI, US
ZIP 494442157

Secondary Taxonomies

Taxonomy Code Group Classification License No. State Primary?

3336C0002X

Suppliers

Pharmacy

No

3336C0003X

Suppliers

Pharmacy

No

Other Identifiers

Identifier Identifier State Identifier Issuer Type/Code
2355510 OTHER ID NUMBER-COMMERCIAL NUMBER 01
2355510 OTHER ID NUMBER 01
3222835 MI MEDICAID 05

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