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Contact Information

HAC, INC.
2400 CORNWELL DR
YUKON, OK73099-5804
 Phone: 405-354-7449
 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 1932354354
LBN Legal business name HAC, INC.
Authorized official JOSH MILLER - (DIRECTOR OF PHARMACY)
Entity Organization
Organization subpart 1 No
Enumeration date 11/26/2008
Last updated 05/11/2023 - About 3 years ago
Identifiers
OK License # 26-5351
OK Medicaid 100247570F
Other 3725390 NCPDP PROVIDER IDENTIFICATION NUMBER
OK Other 100247570J MEDICAID DME
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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