Organization
HAC INC
Active
Other names
PRICE CHOPPER PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
GERALD HINES (DIRECTOR OF PHAMARCY)
(405) 216-2233
Entity
Organization
Contact information
Practice address
5311 SW 22ND PL, TOPEKA, KS 66614-1500
(785) 228-8762
(785) 228-8764
Mailing address
HOMELAND STORES INC, PO BOX 25008, OKLAHOMA CITY, OK 73125-0008
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
209524
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1717377
OTHER ID NUMBER
—
Enumeration date
07/22/2006
Last updated
02/08/2008
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