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NPI Code Detail

MEDICARE: HAC, INC.

MEDICARE: HAC, INC.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1333600000XPharmacy1-5350OK
23336C0003XCommunity/Retail Pharmacy1-5350OK

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1205081858
Entity Type Code : Organization
Provider Name (Legal Business Name) : HAC, INC.
Provider Business Mailing Address
First Line : PO BOX 25008
Second Line :
City : OKLAHOMA CITY
State : OK
Zip : 73125
Country : US
Telephone Number : 405-290-3423
Fax Number : 405-290-3523
Provider Business Practice Location Address
First Line : 7001 NW 122ND ST
Second Line :
City : OKLAHOMA CITY
State : OK
Zip : 73142-3924
Country : US
Telephone Number : 405-720-9303
Fax Number :
Authorized Official
Title or Position : DIRECTOR OF PHARMACY
Name : JOSH MILLER
Credential :
Telephone Number : 405-290-3423
Provider Enumeration Date : 11/24/2008
Last Update Date : 05/11/2023

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Directions to “HAC, INC. ” Practice Location

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