Organization
HACKLEY PROFESSIONAL PHARMACY INC
Active
Organization
HACKLEY PROFESSIONAL PHARMACY INC
Active
Other names
Trinity Health Pharmacy - Muskegon Hospital, MERCY HEALTH PARTNERS - PHARMACY, INC
Organization subpart
No
Provider details
NPI number
Authorized official
KRISTI NAGENGAST (VP FINANCE)
(231) 728-1950
Entity
Organization
Contact information
Practice address
1500 E SHERMAN BLVD, GARDEN LEVEL P-200, MUSKEGON, MI 49444
(231) 672-7825
(231) 672-6488
Mailing address
1500 E SHERMAN BLVD, GARDEN LEVEL P-200, MUSKEGON, MI 49444
(231) 672-7825
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
5301011026
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1538619036
—
MI
01
—
2166139
PK
—
Enumeration date
10/07/2016
Last updated
09/19/2025
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