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General NPI Number Information
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NPI Number | 1598564635
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Entity Type | Organization
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Legal Business Name | HAC, INC
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Dates
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Enumeration Date | 03/11/2025
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Last Update Date | 03/11/2025
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Provider Practice Location Address
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Address Line | 16525 ROSE CREEK DR.
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City | EDMOND
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State | OK
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Zip | 73012
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Country | US
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Telephone | 405-400-2121
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Fax | 405-290-3121
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Provider Business Mailing Address
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Address Line | 390 NE 36TH ST
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City | OKLAHOMA CITY
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State | OK
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Zip | 73105-2508
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Country | US
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Telephone | 405-290-3421
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Fax |
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Authorized Official
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Title or Position | DIRECTOR OF PHARMACY
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Name | JOSHUA MILLER
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Credential | PHARMD
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Telephone | 405-290-3423
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number |
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License Number State |
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