Organization
H.A.C., INC.
Active
Parent organization
H.A.C., INC.
Other names
Pyramid Pharmacy #68, Homeland Pahrmacy #468
Organization subpart
Yes
Provider details
NPI number
Legal business name
H.A.C., INC.
Authorized official
TALITHA NICHOLS D. PH. (DIRECTOR OF PHARMACY)
(405) 290-3423
Entity
Organization
Contact information
Practice address
2005 N. 14TH ST., STE, 110, PONCA CITY, OK 74601
(580) 762-7444
(580) 762-5110
Mailing address
390 N.E. 36TH ST., OKLAHOMA CITY, OK 73105
(405) 290-3421
(405) 290-3521
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
6-5247
OK
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
20011427OP
—
OK
01
—
3720732
NCPDP
OK
01
—
3720732
OTHER ID NUMBER-COMMERCIAL NUMBER
—
Enumeration date
06/04/2006
Last updated
12/02/2019
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