Homeland Pharmacy #195
LBN: Hac, Inc.
Homeland Pharmacy #195 is an health care organization with primary practice located at 4301 S May Ave , Oklahoma City OK 73119-3275. 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) 682-6191, or through Miller, Josh via phone (405) 290-3423.
Contact Information
Primary practice address
4301 S May Ave
Oklahoma City OK 73119-3275
Phone: (405) 682-6191
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Pharmacy | 333600000X | 014640 | Oklahoma |
| Suppliers / Community/Retail Pharmacy | 3336C0003X | 014640 | Oklahoma |
Profile Details
| NPI number | 1629193719 |
|---|---|
| LBN Legal business name | Hac, Inc. |
| DBA Doing business as | Homeland Pharmacy #195 |
| Authorized official | Miller, Josh |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Mar 20th, 2007 |
| Last updated | May 11th, 2023 - about 3 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1629193719 | NPPES |
| Other | 3713953 | OTHER ID NUMBER-COMMERCIAL NUMBER | |
| MEDICAID | 100247740A | OTHER ID NUMBER-COMMERCIAL NUMBER |
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