Homeland Pharmacy #469

LBN: Hac, Inc.
Homeland Pharmacy #469 is an health care organization with primary practice located at 421 N. Main , Stillwater OK 74075. 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. Hac, Inc. can be contacted via phone (405) 743-1080, or through Nichols, Talitha via phone (405) 290-3423.

Contact Information

Primary practice address
421 N. Main Stillwater OK 74075
Phone: (405) 743-1080
Fax: (405) 372-4872
Website:
Map and Directions
Authorized official contact:
Name: Nichols, Talitha Doctor of Public Health (DPH)
Phone: (405) 290-3423

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X 8-5248 Oklahoma
Suppliers / Community/Retail Pharmacy 3336C0003X

Profile Details

NPI number 1033156559
LBN Legal business name Hac, Inc.
DBA Doing business as Homeland Pharmacy #469
Authorized official Nichols, Talitha Doctor of Public Health (DPH)
Entity Organization
Organization subpart 1 Yes
Enumeration date Jun 1st, 2006
Last updated May 11th, 2023 - about last year

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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1033156559 NPPES
Oklahoma MEDICAID 200114270R
Oklahoma Other 3719222
Oklahoma Other 3719222

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