Homeland Pahrmacy #468
LBN: H.A.C., Inc.
Homeland Pahrmacy #468 is an health care organization with primary practice located at 2005 N. 14Th St., Ste, 110 , Ponca City OK 74601. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty.
H.A.C., Inc. can be contacted via phone (580) 762-7444, or through Nichols, Talitha via phone (405) 290-3423.
Contact Information
Primary practice address
2005 N. 14Th St., Ste, 110
Ponca City OK 74601
Phone: (580) 762-7444
Fax: (580) 762-5110
Website:
Authorized official contact:
Name: Nichols, Talitha Doctor of Public Health (DPH)
Phone: (405) 290-3423
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Pharmacy | 333600000X | 6-5247 | Oklahoma |
| Suppliers / Community/Retail Pharmacy | 3336C0003X |
Profile Details
| NPI number | 1477592855 |
|---|---|
| LBN Legal business name | H.A.C., Inc. |
| DBA Doing business as | Homeland Pahrmacy #468 |
| Authorized official | Nichols, Talitha Doctor of Public Health (DPH) |
| Entity | Organization |
| Organization subpart 1 | Yes |
| Enumeration date | Jun 4th, 2006 |
| Last updated | Dec 2nd, 2019 - about 6 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1477592855 | NPPES |
| Oklahoma | Other | 3720732 | NCPDP |
| Oklahoma | Other | 3720732 | NCPDP |
| Oklahoma | MEDICAID | 20011427OP | NCPDP |
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