Homeland Pharmacy

LBN: Hac Inc
Homeland Pharmacy is an health care organization with primary practice located at 4308 Se 44Th St , Oklahoma City OK 73135-3002. 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) 672-2065, or through Hines, Gerald via phone (405) 216-2233.

Contact Information

Primary practice address
4308 Se 44Th St Oklahoma City OK 73135-3002
Phone: (405) 672-2065
Fax: (405) 670-6893
Website:
Map and Directions
Authorized official contact:
Name: Hines, Gerald
Phone: (405) 216-2233

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X 014634 Oklahoma
Suppliers / Community/Retail Pharmacy 3336C0003X 014634 Oklahoma

Profile Details

NPI number 1215052303
LBN Legal business name Hac Inc
DBA Doing business as Homeland Pharmacy
Authorized official Hines, Gerald
Entity Organization
Organization subpart 1 No
Enumeration date Mar 20th, 2007
Last updated Jun 19th, 2008 - about 16 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1215052303 NPPES
Other 3717381 OTHER ID NUMBER-COMMERCIAL NUMBER
MEDICAID 100247680A OTHER ID NUMBER-COMMERCIAL NUMBER

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