Provider Demographics
NPI:1629890660
Name:HUNTERS PRECISION RX LLC
Entity type:Organization
Organization Name:HUNTERS PRECISION RX LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OPERATIONS MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:HUNTER
Authorized Official - Middle Name:J
Authorized Official - Last Name:HOGAN
Authorized Official - Suffix:III
Authorized Official - Credentials:DPH
Authorized Official - Phone:405-640-7545
Mailing Address - Street 1:10120 BROADWAY EXT STE 200
Mailing Address - Street 2:
Mailing Address - City:OKLAHOMA CITY
Mailing Address - State:OK
Mailing Address - Zip Code:73114-6300
Mailing Address - Country:US
Mailing Address - Phone:405-418-2929
Mailing Address - Fax:405-418-2766
Practice Address - Street 1:10120 BROADWAY EXT STE 120
Practice Address - Street 2:
Practice Address - City:OKLAHOMA CITY
Practice Address - State:OK
Practice Address - Zip Code:73114-6300
Practice Address - Country:US
Practice Address - Phone:405-418-2929
Practice Address - Fax:405-418-2766
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:HUNTERS PRECISION RX LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2024-10-30
Last Update Date:2024-10-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336S0011XSuppliersPharmacySpecialty Pharmacy
No333600000XSuppliersPharmacy