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Organization

HUNTER'S SPECIALTY PHARMACY LLC

Active
Other names
Speciatly Pharmacy
Organization subpart
No

Provider details

NPI number
Authorized official
HUNTER JOE HOGAN III DPH (OPERATIONS MGR)
(405) 418-2929
Entity
Organization

Contact information

Practice address
10120 BROADWAY EXT STE 100, OKLAHOMA CITY, OK 73114-6300
(405) 418-2929
(405) 749-0799
Mailing address
10120 BROADWAY EXT STE 100, OKLAHOMA CITY, OK 73114-6300
(405) 749-0600
(405) 749-0799

Taxonomy

Speciality
Code
Description
License number
State
3336C0004X
Compounding Pharmacy
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
200039880-B
OK
01
32493
OBNDD - BUREAU OF NARCOTICS OK
OK
05
600011788
MO
01
BH8958805
DEA
OK
01
OKB5983
MEDICARE ID MASS IMMUNIZER
OK
Enumeration date
11/30/2015
Last updated
01/27/2026
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