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Contact Information

HAC, INC.
505 S CHICKASAW ST
PAULS VALLEY, OK73075-4601
 Phone: 405-238-7505
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Community/Retail Pharmacy

3336C0003X 58 Medical Supply Company with Pharmacist
 

Pharmacy

333600000X 58 Medical Supply Company with Pharmacist
Indicates primary specialty

NPI Profile & details for HAC, INC.

NPI Number 1205951381
LBN Legal business name HAC, INC.
Authorized official JOSH MILLER - (DIRECTOR OF PHARMACY)
Entity Organization
Organization subpart 1 No
Enumeration date 03/20/2007
Last updated 05/11/2023 - About 3 years ago
Identifiers
OK License # 224636
OK Medicaid 100247690A
Other 3712797 OTHER ID NUMBER-COMMERCIAL NUMBER
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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