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Organization

HUNTER'S SPECIALTY PHARMACY LLC

Active
Other names
Specialty Pharmacy
Organization subpart
No

Provider details

NPI number
Authorized official
HUNTER J HOGAN III DPH (OPERATIONS MANAGER)
(405) 640-7545
Entity
Organization

Contact information

Practice address
10120 BROADWAY EXT.,, SUITE 100, OKLAHOMA CITY, OK 73114
(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
3336C0003X
Community/Retail Pharmacy
Primary
3336C0004X
Compounding Pharmacy
3336L0003X
Long Term Care Pharmacy

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1-8984
OK STATE BOARD OF PHARMACY
OK
05
200039880-B
OK
01
3723980
NCPDP
OK
01
=========
FEI
OK
01
BH8958805
DEA
OK
Enumeration date
11/28/2006
Last updated
01/04/2024
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