HACKLEY PROFESSIONAL PHARMACY INC NPI 1013626639

NPI Information

  • NPI: 1013626639
  • Provider Name: HACKLEY PROFESSIONAL PHARMACY, INC
  • Classification: Pharmacy - 3336S0011X
  • Specialization: Specialty Pharmacy
  • Entity Type: Organization
  • Address: 1675 LEAHY ST STE 111
    MUSKEGON, MI
    ZIP 49442
  • Phone: (231) 672-7822

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NPI Details

HACKLEY PROFESSIONAL PHARMACY, INC is a specialty pharmacy pharmacy in Muskegon, MI. The provider is a pharmacy that dispenses generally low volume and high cost medicinal preparations to patients who are undergoing intensive therapies for illnesses that are generally chronic, complex and potentially life threatening. Often these therapies require specialized delivery and administration. HACKLEY PROFESSIONAL PHARMACY, INC NPI is 1013626639. The provider is registered as an organization entity type.

The provider's business location address is:

1675 LEAHY ST STE 111
MUSKEGON, MI
ZIP 49442-538
Phone: (231) 672-7822
Fax: (231) 672-8425

The provider's authorized official is Tara Zdybel .
The authorized official title is Pharmacy Manager and has the following contact phone number (231) 672-4899.

The enumeration date for this NPI number is 11/22/2022 and was last updated on 11/22/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
13336S0011XPharmacySpecialty PharmacyYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
11497896351MEDICAIDMICHIGAN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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