Organization
HAC, INC.
Active
Parent organization
HAC INC
Other names
Homeland Pharmacy #469
Organization subpart
Yes
Provider details
NPI number
Legal business name
HAC INC
Authorized official
TALITHA NICHOLS D.PH. (DIRECTOR OF PHARMACY)
(405) 290-3423
Entity
Organization
Contact information
Practice address
421 N. MAIN, STILLWATER, OK 74075
(405) 743-1080
(405) 372-4872
Mailing address
390 N.E. 36TH ST., OKLAHOMA CITY, OK 73105
(405) 290-3421
(405) 290-3521
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
8-5248
OK
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200114270R
—
OK
01
—
3719222
NCPDP
OK
01
—
3719222
OTHER ID NUMBER-COMMERCIAL NUMBER
—
Enumeration date
06/01/2006
Last updated
05/11/2023
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