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HAC INC. NPI 1790722122


NPI Information

NPI: 1790722122
Provider Name: HAC, INC.

Doing Business As: HOMELAND PHARMACY #217

Classification: Pharmacy - 3336C0003X
Entity Type: Organization

Specialization: Community/Retail Pharmacy

CLIA Number: 37D2071147

Address:
7101 NW 23RD ST
BETHANY, OK
ZIP 73008
Phone: (405) 789-2596
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HAC, INC. is a community/retail pharmacy pharmacy in Bethany, OK. The provider is a pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes. HAC, INC. NPI is 1790722122. The provider is registered as an organization entity type.
The provider Is Doing Business As Homeland Pharmacy #217.

The provider's business location address is:

7101 NW 23RD ST
BETHANY, OK
ZIP 73008-129
Phone: (405) 789-2596

The provider's authorized official is Josh Miller .
The authorized official title is Director Of Pharmacy and has the following contact phone number (405) 290-3423.

The CLIA number assigned to this NPI record is 37D2071147 - pharmacy with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 6/2/2006 and was last updated on 5/11/2023.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1333600000XPharmacy1-5192OKLAHOMANo
23336C0003XPharmacyCommunity/Retail Pharmacy01-5192OKLAHOMAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
13718686OTHEROTHER ID NUMBER-COMMERCIAL NUMBER
2100247730FMEDICAIDOKLAHOMA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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