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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
1910 W 21ST ST N, WICHITA, KS 67203-2105
(316) 838-5908
(316) 838-7239
Mailing address
HOMELAND STORES INC, PO BOX 25008, OKLAHOMA CITY, OK 73125-0008

Taxonomy

Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
209799
KS

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1717769
OTHER ID NUMBER-COMMERCIAL NUMBER
Enumeration date
03/20/2007
Last updated
02/08/2008
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