| NPI | 1306987268 |
|---|---|
| Doing Business As | HACKLEY PHARMACY- WOLF LAKE |
| Entity Type | Organization |
| Authorized Contact | KIM DEBRUIN Retail Pharmacy Manager 231-728-4046 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: MI 5301005301) |
| Additional Taxonomies | 333600000X Pharmacy |
| Enumeration Date | 2007-02-12 |
| Last Update Date | 2014-07-03 |