Organization
HACKLEY PROFESSIONAL PHARMACY, INC
Active
Organization
HACKLEY PROFESSIONAL PHARMACY, INC
Active
Parent organization
HACKLEY PROFESSIONAL PHARMACY, INC
Other names
Trinity Health Pharmacy - Lakes Village, MERCY HEALTH PHARMACY- LAKES
Organization subpart
Yes
Provider details
NPI number
Legal business name
HACKLEY PROFESSIONAL PHARMACY, INC
Authorized official
KRISTI KAROLE NAGENGAST (VP OF FINANCE)
(231) 728-1950
Entity
Organization
Contact information
Practice address
6401 PRAIRIE ST STE 1100, NORTON SHORES, MI 49444-7839
(231) 672-7821
(231) 727-7971
Mailing address
6401 PRAIRIE ST STE 1100, NORTON SHORES, MI 49444-7839
(231) 672-7821
(231) 727-7971
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
5301008308
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2042118
PK
—
05
—
2368024
—
MI
Enumeration date
07/30/2006
Last updated
11/10/2022
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up