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Organization

HAC INC

Active
Other names
HOMELAND PHARMCY
Organization subpart
No

Provider details

NPI number
Authorized official
GERALD HINES (DIRECTOR OF PHAMARCY)
(405) 216-2233
Entity
Organization

Contact information

Practice address
19302 EAST ADMIRAL BLVD, CATOOSA, OK 74015
(918) 266-2543
(918) 266-7453
Mailing address
HOMELAND STORES INC, PO BOX 25008, OKLAHOMA CITY, OK 73125-0008
(405) 216-2233
(405) 216-2283

Taxonomy

Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
384648
OK
3336C0003X
Community/Retail Pharmacy

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
3714450
OTHER ID NUMBER-COMMERCIAL NUMBER
Enumeration date
03/20/2007
Last updated
02/27/2008
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