Homeland Pharmacy #495

LBN: Hac, Inc.
Homeland Pharmacy #495 is an health care organization with primary practice located at 310 W Trudgeon St , Henryetta OK 74437-4026. 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 (918) 652-2553, or through Miller, Josh via phone (405) 290-3423.

Contact Information

Primary practice address
310 W Trudgeon St Henryetta OK 74437-4026
Phone: (918) 652-2553
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Miller, Josh
Phone: (405) 290-3423

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X 144645 Oklahoma
Suppliers / Community/Retail Pharmacy 3336C0003X 144645 Oklahoma

Profile Details

NPI number 1033234125
LBN Legal business name Hac, Inc.
DBA Doing business as Homeland Pharmacy #495
Authorized official Miller, Josh
Entity Organization
Organization subpart 1 No
Enumeration date Mar 20th, 2007
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 1033234125 NPPES
Oklahoma MEDICAID 100247640A
Oklahoma Other 3718131

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