Organization
HAC, INC.
Active
Other names
Homeland, UNITED PHARMACY 362
Organization subpart
No
Provider details
NPI number
Authorized official
JOSH MILLER (DIRECTOR OF PHARMACY)
(405) 290-3423
Entity
Organization
Contact information
Practice address
2700 W 3RD ST, ELK CITY, OK 73644-4320
(580) 225-1600
Mailing address
PO BOX 25008, OKLAHOMA CITY, OK 73125
(405) 290-3423
(405) 290-3523
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
35-5910
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100247730TU
—
OK
Enumeration date
04/02/2012
Last updated
05/11/2023
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