# HAC, INC.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** PRICE CHOPPER PHARMACY
- **Organization subpart:** No

## Provider details

- **NPI number:** 1770504730
- **Authorized official:** GERALD HINES (DIRECTOR OF PHARMACY)
- **Authorized official phone:** (405) 216-2233

## Contact information

- **Practice address:** 3734 PEAR ST, SAINT JOSEPH, MO 64503-1507
- **Practice address phone:** (816) 236-2062
- **Practice address fax:** (816) 232-2064
- **Mailing address:** PO BOX 25008, OKLAHOMA CITY, OK 73125-0008
- **Mailing address phone:** (405) 216-2233
- **Mailing address fax:** (405) 216-2283

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 333600000X | Pharmacy | 2005041200 | MO | Yes |
| 3336C0003X | Community/Retail Pharmacy | 2005041200 | MO | — |

## Other

- **Enumeration date:** 07/22/2006
- **Last updated:** 05/15/2008

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 200381320K | — | KS |
| 01 | — | 2633205 | OTHER ID NUMBER-COMMERCIAL NUMBER | — |
| 05 | — | 604973107 | — | MO |