Homeland Pharmacy #217

LBN: Hac, Inc.
Homeland Pharmacy #217 is an health care organization with primary practice located at 7101 Nw 23Rd St , Bethany OK 73008-5129. 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) 789-2596, or through Miller, Josh via phone (405) 290-3423.

Contact Information

Primary practice address
7101 Nw 23Rd St Bethany OK 73008-5129
Phone: (405) 789-2596
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Miller, Josh
Phone: (405) 290-3423

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X 1-5192 Oklahoma
Suppliers / Community/Retail Pharmacy 3336C0003X 01-5192 Oklahoma

Profile Details

NPI number 1790722122
LBN Legal business name Hac, Inc.
DBA Doing business as Homeland Pharmacy #217
Authorized official Miller, Josh
Entity Organization
Organization subpart 1 No
Enumeration date Jun 2nd, 2006
Last updated May 11th, 2023 - about 2 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 1790722122 NPPES
Other 3718686 OTHER ID NUMBER-COMMERCIAL NUMBER
MEDICAID 100247730F OTHER ID NUMBER-COMMERCIAL NUMBER

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