HACKLEY PHARMACY- WOLF LAKE
NPI 1306987268
Pharmacy - Community/Retail Pharmacy in Muskegon, MI

Q: What is Hackley Pharmacy-Wolf Lake's NPI number?

The NPI number for Hackley Pharmacy-Wolf Lake is 1306987268. It was assigned to this organization in the NPPES registry on February 12, 2007. The provider is doing business as Hackley Pharmacy- Wolf Lake.

Q: What is Hackley Pharmacy-Wolf Lake's specialty?

The primary specialty registered for this NPI is Pharmacy, specializing in Community/Retail Pharmacy, with taxonomy code 3336C0003X.

Active since February 12, 2007

5483 E APPLE AVE, MUSKEGON, MI 49442(231) 788-4087(231) 788-3090 Get Directions Write a Review

NPPES record last updated: July 3, 2014. Verified against the NPPES registry weekly; last sync: August 23, 2026.

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About Hackley Pharmacy- Wolf Lake NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

HACKLEY PHARMACY- WOLF LAKE (NPI 1306987268) is a healthcare organization registered as a community/retail pharmacy in Muskegon, Michigan and active in the NPI registry since February 2007. The organization lists Kim Debruin, Retail Pharmacy Manager, as its authorized official.

NPPES Registry Identity

NPI1306987268

Entity TypeOrganization

Primary Taxonomy3336C0003X

Legal Business NameHACKLEY PHARMACY-WOLF LAKE

Location Address5483 E APPLE AVEMuskegon, MI 49442-3070

Mailing Address5483 E Apple AveMuskegon, MI 49442-3070 · (231) 788-4087 · Fax (231) 788-3090

Phone(231) 788-4087

Fax(231) 788-3090

Organization SubpartNo

Authorized OfficialKim DebruinRetail Pharmacy Manager · (231) 728-4046

Enumeration DateFebruary 12, 2007

Last NPPES UpdateJuly 3, 2014

✔ NPI 1306987268 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPharmacy · Community/Retail PharmacySuppliers

Taxonomy Code3336C0003X

License✔ Licensed in MI · 5301005301

Definition

A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes.

Also ListedPharmacyTaxonomy 333600000X

5483 E APPLE AVE, Muskegon, MI 49442

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Other Names 1

Doing Business AsHackley Pharmacy- Wolf Lake

Other Identifiers 2

Medicaid2643897MI

Other2040771Pk

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Hackley Pharmacy-Wolf Lake's NPI number?

The NPI number for Hackley Pharmacy-Wolf Lake is 1306987268. It was assigned to this organization in the NPPES registry on February 12, 2007. The provider is doing business as Hackley Pharmacy- Wolf Lake.

Where is Hackley Pharmacy-Wolf Lake located?

Hackley Pharmacy-Wolf Lake is located at 5483 E Apple Ave, Muskegon, MI 49442. The listed phone number is (231) 788-4087.

What is Hackley Pharmacy-Wolf Lake's specialty?

The primary specialty registered for this NPI is Pharmacy, specializing in Community/Retail Pharmacy, with taxonomy code 3336C0003X.

When was this NPI record last updated?

The NPPES record for Hackley Pharmacy-Wolf Lake was last updated on July 3, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.