Organization
HACKLEY PROFESSIONAL PHARMACY, INC
Active
Other names
Trinity Health Pharmacy - Hackley
Organization subpart
No
Provider details
NPI number
Authorized official
TARA ZDYBEL PHARMD (PHARMACY MANAGER)
(231) 672-4899
Entity
Organization
Contact information
Practice address
1675 LEAHY ST STE 111, MUSKEGON, MI 49442-5538
(231) 672-7822
(231) 672-8425
Mailing address
1675 LEAHY ST STE 111, MUSKEGON, MI 49442-5538
(231) 672-7822
(231) 672-8425
Taxonomy
Speciality
Code
Description
License number
State
3336S0011X
Specialty Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1497896351
—
MI
Enumeration date
11/22/2022
Last updated
11/22/2022
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