Organization
HAC, INC.
Active
Other names
Homeland Pharmacy #170
Organization subpart
No
Provider details
NPI number
Authorized official
JOSH MILLER (DIRECTOR OF PHARMACY)
(405) 290-3423
Entity
Organization
Contact information
Practice address
412 W 3RD ST, ELK CITY, OK 73644-5202
(580) 225-7961
Mailing address
PO BOX 25008, OKLAHOMA CITY, OK 73125
(405) 290-3423
(405) 290-3523
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
354635
OK
3336C0003X
Community/Retail Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100247700A
—
OK
01
—
3713244
OTHER ID NUMBER-COMMERCIAL NUMBER
—
Enumeration date
03/20/2007
Last updated
05/11/2023
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us