Organization
HKA CORPORATION
Active
Other names
PROFESSIONAL PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
LEO HUNG (ADMINISTRATOR)
(432) 445-3330
Entity
Organization
Contact information
Practice address
925 W DAGGETT ST, PECOS, TX 79772-6902
(432) 445-3330
(432) 445-3331
Mailing address
925 W DAGGETT ST, PECOS, TX 79772-6902
(432) 445-3330
(432) 445-3331
Taxonomy
Speciality
Code
Description
License number
State
251F00000X
Home Infusion Agency
Primary
5163
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
750031
BCBS HOME INFUSION #
TX
Enumeration date
06/21/2007
Last updated
08/22/2020
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