Organization
HACKLEY PROFESSIONAL PHARMACY, INC
Active
Other names
Trinity Health Pharmacy - Hackley, HACKLEY PROFESSIONAL PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
GARY ALLORE (CHIEF EXECUTIVE OFFICER)
(231) 672-4809
Entity
Organization
Contact information
Practice address
1675 LEAHY ST, SUITE 111, MUSKEGON, MI 49442-5500
(231) 672-7822
(231) 728-4093
Mailing address
1675 LEAHY ST, SUITE 111, MUSKEGON, MI 49442-5500
(231) 672-7822
(231) 728-4093
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
5301005276
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2042183
PK
—
Enumeration date
02/12/2007
Last updated
12/16/2024
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us