Homeland Pharmacy #236

LBN: Hac, Inc.
Homeland Pharmacy #236 is an health care organization with primary practice located at 2400 Cornwell Dr , Yukon OK 73099-5804. 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) 354-7449, or through Miller, Josh via phone (405) 290-3423.

Contact Information

Primary practice address
2400 Cornwell Dr Yukon OK 73099-5804
Fax:
Website:
Authorized official contact:
Name: Miller, Josh

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X 26-5351 Oklahoma

Profile Details

NPI number 1932354354
LBN Legal business name Hac, Inc.
DBA Doing business as Homeland Pharmacy #236
Authorized official Miller, Josh
Entity Organization
Organization subpart 1 No
Enumeration date Nov 26th, 2008
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 1932354354 NPPES
Other 3725390 NCPDP PROVIDER IDENTIFICATION NUMBER
MEDICAID 100247570F NCPDP PROVIDER IDENTIFICATION NUMBER
Other 100247570J NCPDP PROVIDER IDENTIFICATION NUMBER

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