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
2210 NORTH TYLER, TOPEKA, KS 66608
(785) 575-0522
(785) 575-0524
Mailing address
HOMELAND STORES INC, PO BOX 25008, OKLAHOMA CITY, OK 73125-0008
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
209586
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1717428
OTHER ID NUMBER
—
Enumeration date
07/25/2006
Last updated
09/12/2007
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