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
2016 NW 39TH ST, OKLAHOMA CITY, OK 73118-2614
(405) 521-9516
(405) 528-8729
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
014632
OK
3336C0003X
Community/Retail Pharmacy
Primary
014632
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100247510A
—
OK
01
—
3712913
OTHER ID NUMBER-COMMERCIAL NUMBER
—
Enumeration date
03/20/2007
Last updated
01/19/2010
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