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Contact Information

H.A.C., INC.
2005 N. 14TH ST., STE, 110
PONCA CITY, OK74601
 Phone: 580-762-7444
 Fax: 580-762-5110
 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 H.A.C., INC.

NPI Number 1477592855
LBN Legal business name H.A.C., INC.
Authorized official TALITHA NICHOLS - (DIRECTOR OF PHARMACY)
Entity Organization
Organization subpart 1 Yes
Enumeration date 06/04/2006
Last updated 12/02/2019 - About 7 years ago
Identifiers
OK License # 6-5247
OK Medicaid 20011427OP
Other 3720732 OTHER ID NUMBER-COMMERCIAL NUMBER
OK Other 3720732 NCPDP
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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