Organization
HAC INC
Active
Other names
N/A
Organization subpart
No
Provider details
NPI number
Authorized official
HUNTER J HOGAN III (DIRECTOR OF PHARMACY)
(405) 290-3423
Entity
Organization
Contact information
Practice address
24 E 33RD ST, EDMOND, OK 73013-4603
(405) 330-7202
(405) 330-7242
Mailing address
390 NE 36TH ST, OKLAHOMA CITY, OK 73105-2508
(405) 290-3423
(405) 290-3523
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
014650
OK
3336C0003X
Community/Retail Pharmacy
Primary
014650
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100247590A
—
OK
01
—
3720148
OTHER ID NUMBER-COMMERCIAL NUMBER
—
Enumeration date
03/20/2007
Last updated
01/09/2010
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