Homeland Pharmacy #467

LBN: Hac, Inc.
Homeland Pharmacy #467 is an health care organization with primary practice located at 2501 S.E. Washington , Bartlesville OK 74006. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy. Suppliers / Pharmacy is the primary health care specialty. Hac, Inc. can be contacted via phone (918) 335-2020, or through Miller, Josh via phone (405) 290-3423.

Contact Information

Primary practice address
2501 S.E. Washington Bartlesville OK 74006
Fax: (918) 335-2021
Website:
Authorized official contact:
Name: Miller, Josh Doctor of Public Health (DPH)

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X 9-5246 Oklahoma
Suppliers / Community/Retail Pharmacy 3336C0003X

Profile Details

NPI number 1124065644
LBN Legal business name Hac, Inc.
DBA Doing business as Homeland Pharmacy #467
Authorized official Miller, Josh 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 1124065644 NPPES
Oklahoma MEDICAID 200114207N
Oklahoma Other 3718725
Oklahoma Other 3718725

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