Organization
HAC, INC
Active
Other names
N/A
Organization subpart
No
Provider details
NPI number
Authorized official
MR. HUNTER J HOGAN III RPH (DIRECTOR OF PHARMACY)
(405) 290-3423
Entity
Organization
Contact information
Practice address
7000 S MAY AVE, OKLAHOMA CITY, OK 73159-2400
(405) 682-1608
(405) 682-3736
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
1-5349
OK
3336C0003X
Community/Retail Pharmacy
Primary
1-5349
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
100247570D
MEDICAID DME
OK
05
—
100247570I
—
OK
Enumeration date
11/24/2008
Last updated
01/21/2010
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