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NPI Code Detail

MEDICARE: ONCOLOGY PHARMACY SERVICES

MEDICARE: ONCOLOGY PHARMACY SERVICES
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
13336C0003XCommunity/Retail Pharmacy
2333600000XPharmacy20166TX
33336S0011XSpecialty Pharmacy

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1350154OTHERTXTX VENDOR DRUG
220166OTHERTXCLASS A LICENSE
34593465OTHERTXNCPDP
4MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1033155049
Entity Type Code : Organization
Provider Name (Legal Business Name) : ONCOLOGY PHARMACY SERVICES
Provider Business Mailing Address
First Line : PO BOX 731145
Second Line :
City : DALLAS
State : TX
Zip : 75373-1145
Country : US
Telephone Number : 972-997-8103
Fax Number : 469-467-2535
Provider Business Practice Location Address
First Line : 1609 HOSPITAL PKWY
Second Line :
City : BEDFORD
State : TX
Zip : 76022-6920
Country : US
Telephone Number : 817-359-9070
Fax Number : 817-359-9025
Authorized Official
Title or Position : EXECUTIVE DIRECTOR
Name : J. ERNEST SIMS
Credential :
Telephone Number : 972-490-2912
Provider Enumeration Date : 06/20/2006
Last Update Date : 01/12/2024

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Directions to “ONCOLOGY PHARMACY SERVICES ” Practice Location

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