Homeland Pharmacy #169

LBN: Hac, Inc.
Homeland Pharmacy #169 is an health care organization with primary practice located at 205 N Commerce St , Ardmore OK 73401-3906. 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 (580) 223-0143, or through Miller, Josh via phone (405) 290-3423.

Contact Information

Primary practice address
205 N Commerce St Ardmore OK 73401-3906
Phone: (580) 223-0143
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Miller, Josh
Phone: (405) 290-3423

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X 124837 Oklahoma
Suppliers / Community/Retail Pharmacy 3336C0003X 124837 Oklahoma

Profile Details

NPI number 1801911995
LBN Legal business name Hac, Inc.
DBA Doing business as Homeland Pharmacy #169
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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1801911995 NPPES
Oklahoma MEDICAID 100247730B
Oklahoma Other 3713270

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